| NPI | 1073522686 |
|---|---|
| Former Legal Business Name | JJ MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JUAN CARMONA President 915-313-3600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0078258) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-04-18 |