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Organization
JPS PHYSICIAN GROUP INC.
Active
Organization
JPS PHYSICIAN GROUP INC.
Active
Parent organization
JPS PHYSICIAN GROUP INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JPS PHYSICIAN GROUP INC.
Authorized official
MR. CORBIN WILSON (EXECUTIVE DIRECTOR)
(817) 921-3431
Entity
Organization
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 852-8440
(817) 927-3603
Mailing address
19801 ANITA AVE, CASTRO VALLEY, CA 94546-4103
(650) 743-6473
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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