NPI | 1851320022 |
---|---|
Doing Business As | JAZA MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | DAVID E ODEMWINGIE President 214-340-7458 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0043164) |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0043164) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-22 |