Organization
SJMC PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
1401 ST JOSEPH PKWY, (ATTN: SJMC PHYSICIAN SERVICES), HOUSTON, TX 77002-8301
(713) 757-1000
(713) 657-7123
Mailing address
PO BOX 847747, DALLAS, TX 75284-7747
(866) 286-4922
(314) 432-9683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158743-01
—
TX
Enumeration date
06/04/2012
Last updated
03/02/2015
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