Organization
JED, INC
Active
Other names
CHATEAU WOODLANDS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN CHURCHILL (OWNER)
(832) 884-3839
Entity
Organization
Contact information
Practice address
327 TALLOW DR, CONROE, TX 77385-9533
(832) 884-3839
(281) 296-0066
Mailing address
327 TALLOW DR, CONROE, TX 77385-9533
(832) 884-3839
(281) 296-0066
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
143560
TX
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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