Sjc Medical Group LLC

NPI #1174230866 in Kyle, Texas

Provider Information

NPI Number: 1174230866
Entity Type: Organization
Organization Name: Sjc Medical Group LLC
Primary Specialty: Clinic/Center
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 151 KIRKHAM CIR # B
City: Kyle
State: Texas
ZIP Code: 78640-9703
Phone: (512) 893-3376

Authorized Official

Name: DR. JAZMINE M COLLINS, LAC
Title: PRESIDENT/ PROVIDER
Phone: (512) 893-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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