Organization
JJP FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA MORA (PRESIDENT/CEO-OWNER)
(361) 358-2392
Entity
Organization
Contact information
Practice address
302 S HILLSIDE DR, BEEVILLE, TX 78102-5333
(361) 358-9912
(361) 358-7640
Mailing address
302 S HILLSIDE DR, BEEVILLE, TX 78102-5333
(361) 358-2392
(361) 358-7640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083HG
BCBS TEXAS ID NUMBER RHC
TX
05
—
148458601
—
TX
Enumeration date
05/26/2006
Last updated
03/10/2025
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