| NPI | 1912573452 |
|---|---|
| Doing Business As | JB PROFESSIONAL SPORTS MED CLINIC |
| Entity Type | Organization |
| Authorized Contact | JONNITA BROWN Owner / Athletic Director 469-781-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QR1100X Clinic/Center, Research | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 333300000X Emergency Response System Companies | |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-04 |