CCN: 454880 NPI: 1780619031 Organization

JUMP START THERAPY & MEDICAL CLINIC

908 W. EDINBURG AVE , SUITE B
ELSA, TX 78543

Contact Information

Phone 9562621037
Fax 9562627756
Enumeration Date 2006-07-12
Last Updated 2018-08-23

Taxonomies

Code: 104100000X License State: TX License: 37129
Code: 224Z00000X License State: TX License: 208752
Code: 225100000X License State: TX License: 1131290
Code: 225X00000X License State: TX License: 110383
Code: 2355S0801X License State: TX License: 11512
Code: 225200000X License State: TX License: 2064523
Code: 225X00000X License State: TX License: 112802
Code: 2355S0801X License State: TX License: 34009
Code: 2355S0801X License State: TX License: 34739
Code: 235Z00000X License State: TX License: 102929
Code: 261QM2500X License State: TX License: M2376
Code: 261QM2500X License State: TX License: K8596
Code: 2355S0801X License State: TX License: 34195
Code: 2355S0801X License State: TX License: 12390
Code: 261QR0401X (Primary) License State: TX

Inpatient Payment Attributes (IPSF) View Dictionary →

No IPSF records found for this provider.

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 32580

providerType 46

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 32580

providerType 46

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 32580

providerType 46

specialPaymentIndicator

carrierCode 04412

localityCode 99