# HIDDEN JEWEL HEALTHCARE RESOURE SERVICE

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

## Provider details

- **NPI number:** 1275994550
- **Authorized official:** CYNTHIA R BROWN (ADMINISTRATOR)
- **Authorized official phone:** (469) 789-9205

## Contact information

- **Practice address:** 1305 KENTUCKY AVE, LANCASTER, TX 75134-1688
- **Practice address phone:** (469) 789-9205
- **Practice address fax:** (972) 224-0411
- **Mailing address:** PO BOX 398370, DALLAS, TX 75339-8370
- **Mailing address phone:** (469) 789-9205
- **Mailing address fax:** (972) 224-0411

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2016
- **Last updated:** 06/20/2018