# JMS HOME MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JMS Home Medical Equipment and Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225689383
- **Authorized official:** MR. JACOB T. WAGGONER (PRESIDENT)
- **Authorized official phone:** (903) 569-2311

## Contact information

- **Practice address:** 5365 S STATE HIGHWAY 37, MINEOLA, TX 75773-6919
- **Practice address phone:** (903) 569-2311
- **Practice address fax:** (903) 569-8296
- **Mailing address:** 5365 S STATE HIGHWAY 37, MINEOLA, TX 75773-6919
- **Mailing address phone:** (903) 569-2311
- **Mailing address fax:** (903) 569-8296

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 09/20/2019