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Organization
AJT DIABETIC INCORPORATED
Active
Organization
AJT DIABETIC INCORPORATED
Active
Other names
Countrywide Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN W SOBLICK (PRESIDENT)
(561) 441-1621
Entity
Organization
Contact information
Practice address
8500 ALMEDA GENOA RD, SUITE 112A, HOUSTON, TX 77075-2223
(713) 440-9090
Mailing address
8500 ALMEDA GENOA RD, SUITE 112A, HOUSTON, TX 77075-2223
(713) 440-9090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000026
TX
Other
Enumeration date
06/10/2009
Last updated
04/17/2014
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