# JPS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225414501
- **Authorized official:** PATRICK SAJOUS SIMON PHARMD (CLINICAL PHARMACIST)
- **Authorized official phone:** (817) 702-7400

## Contact information

- **Practice address:** 4701 BRYANT IRVIN RD N, FORT WORTH, TX 76107-7627
- **Practice address phone:** (817) 702-7400
- **Mailing address:** 9424 CRESTING CREEK DR, APT 1122, FORT WORTH, TX 76108-7021
- **Mailing address phone:** (305) 494-6364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 281P00000X | Chronic Disease Hospital | 56835 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 08/10/2015