# JBG MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician's Durable Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134395130
- **Authorized official:** SEAN T WILLIAMS (OWNER)
- **Authorized official phone:** (972) 265-6656

## Contact information

- **Practice address:** 5700 GRANITE PKWY, SUITE 900, PLANO, TX 75024-6622
- **Practice address phone:** (972) 265-6634
- **Practice address fax:** (972) 265-6631
- **Mailing address:** PO BOX 1283, PROSPER, TX 75078-1283
- **Mailing address phone:** (972) 265-6634
- **Mailing address fax:** (972) 265-6631

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008