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Organization
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Active
Other names
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELPHINA C MITIMA-SAMUEL PHD (DIRECTOR)
(409) 350-8167
Entity
Organization
Contact information
Practice address
12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
(409) 350-8167
(281) 741-9008
Mailing address
12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
(409) 350-8167
(281) 741-9008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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