Organization
J T HO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS T HO MD (PRESIDENT)
(304) 845-7420
Entity
Organization
Contact information
Practice address
1001 1ST ST, MOUNDSVILLE, WV 26041-1407
(304) 845-7420
(304) 845-3243
Mailing address
PO BOX 370, MOUNDSVILLE, WV 26041-0370
(304) 845-7420
(304) 845-3243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10217
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714019
MOUNTAIN STATE BLUE CROSS
WV
05
—
0075335000
—
WV
01
—
0083291
UMW FUNDS
WV
05
—
0209223
—
OH
Enumeration date
01/02/2007
Last updated
05/19/2010
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