Provider Demographics
NPI:1871100214
Name:CJ SERVICES TEXAS LLC
Entity type:Organization
Organization Name:CJ SERVICES TEXAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-459-7266
Mailing Address - Street 1:423 CHAMPIONS DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8935
Mailing Address - Country:US
Mailing Address - Phone:956-280-5586
Mailing Address - Fax:956-801-2418
Practice Address - Street 1:423 CHAMPIONS DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8935
Practice Address - Country:US
Practice Address - Phone:956-280-5586
Practice Address - Fax:956-801-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health