| Jwcm, Llc | |
|
30875 Interstate 10 W Suite B Boerne TX 78006-9252 | |
| (830) 755-6475 | |
| Not Available |
| Full Name | Jwcm, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30875 Interstate 10 W, Boerne, Texas |
| Authorized Official Name and Position | Julie Kristine Waltrip (PRESIDENT/DENTIST) |
| Authorized Official Contact | 8307556475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwcm, Llc 30875 Interstate 10 W Suite B Boerne TX 78006-9252 Ph: (830) 755-6475 | Jwcm, Llc 30875 Interstate 10 W Suite B Boerne TX 78006-9252 Ph: (830) 755-6475 |
| NPI Number | 1235393596 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235393596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19842 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | 19475 (Texas) | Primary |
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