# AJT DIABETIC INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Countrywide Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437385069
- **Authorized official:** ROBIN W SOBLICK (PRESIDENT)
- **Authorized official phone:** (561) 441-1621

## Contact information

- **Practice address:** 8500 ALMEDA GENOA RD, SUITE 112A, HOUSTON, TX 77075-2223
- **Practice address phone:** (713) 440-9090
- **Mailing address:** 8500 ALMEDA GENOA RD, SUITE 112A, HOUSTON, TX 77075-2223
- **Mailing address phone:** (713) 440-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000026 | TX | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 04/17/2014