# JD MEDICAL SUPPLIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013915198
- **Authorized official:** MS. GAIL MCBRIDE (OWNER)
- **Authorized official phone:** (903) 297-5524

## Contact information

- **Practice address:** 407 GILMER RD, LONGVIEW, TX 75604-4622
- **Practice address phone:** (903) 297-5524
- **Practice address fax:** (903) 234-8809
- **Mailing address:** 407 GILMER RD, LONGVIEW, TX 75604-4622
- **Mailing address phone:** (903) 297-5524
- **Mailing address fax:** (903) 234-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0054375 | TX | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 12/26/2013