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Organization
JMAX LLC
Active
Organization
JMAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MAXWELL D.O. (OWNER)
(972) 510-5113
Entity
Organization
Contact information
Practice address
2012 JUSTIN RD, SUITE 210, LEWISVILLE, TX 75077-7193
(972) 510-5113
Mailing address
2012 JUSTIN RD, SUITE 210, LEWISVILLE, TX 75077-7193
(972) 510-5113
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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