Serve All Medical Jacksonville, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERVE ALL MEDICAL JACKSONVILLE, PLLC

Doing business as

Clinica Hispana

Practice address

1009 S Jackson St Ste 325
Jacksonville, TX 75766-3057

Phone

(903) 247-4877

Fax

(832) 308-1272

NPI assigned

Mar 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathon Ingram

Title

Chief Marketing Officer

Phone

(832) 350-1778

Specialties & licenses 1

Addresses

Other names 1

• Clinica Hispana Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1396320578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "765340339",
            "telephone_number": "512-487-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S JACKSON ST STE 325",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663057",
            "telephone_number": "903-247-4877",
            "fax_number": "832-308-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE ALL MEDICAL JACKSONVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CHIEF MARKETING OFFICER",
        "authorized_official_telephone_number": "832-350-1778"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Taylor Sanchez
• Adriana Sanders, PA
• Scott J Sands, M.D.
• Scott Thomas Satterfield, MD
• Loy P Scruggs Jr., CSFA
• Victoria Servin
• Mindy Sexton, RN
• Ravish Nitinkumar Shah, PHARMD
• Billy Wayne Shelton, PH.D.
• Christopher Mark Sirianni, M.D.

• Internal Medicine Physician in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.