Provider Demographics
NPI:1588050470
Name:JCL HEALTH SOLUTIONS OF TEXAS
Entity type:Organization
Organization Name:JCL HEALTH SOLUTIONS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-799-9064
Mailing Address - Street 1:11233 SHADOW CREEK PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11233 SHADOW CREEK PKWY STE 303
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4100
Practice Address - Country:US
Practice Address - Phone:281-799-9064
Practice Address - Fax:281-301-7753
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOS MGMT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty