# CJAND MEDICAL EQUIPMENT AND SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CJAND MEDICAL EQUIPMENT AND SUPPLIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194349589
- **Authorized official:** DR. DELPHINA C MITIMA-SAMUEL PHD (DIRECTOR)
- **Authorized official phone:** (409) 350-8167

## Contact information

- **Practice address:** 12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
- **Practice address phone:** (409) 350-8167
- **Practice address fax:** (281) 741-9008
- **Mailing address:** 12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
- **Mailing address phone:** (409) 350-8167
- **Mailing address fax:** (281) 741-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 06/02/2020