Organization
JAKE E-S RIDING ROUND UP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA SYVRUD (FOUNDER / DIRECTOR)
(214) 458-9578
Entity
Organization
Contact information
Practice address
10626 FARM TO MARKET 429, KAUFMAN, TX 75142
(214) 458-9578
Mailing address
10626 FARM TO MARKET 429, KAUFMAN, TX 75142
(214) 458-9578
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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