# CJ SUPPLIER INC

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

## Provider details

- **NPI number:** 1508641077
- **Authorized official:** CARLOS J MIGUEZ LEYVA (DIRECTOR)
- **Authorized official phone:** (214) 982-3373

## Contact information

- **Practice address:** 12000 FORD RD STE A120, FARMERS BRANCH, TX 75234-7249
- **Practice address phone:** (214) 982-3373
- **Mailing address:** 12000 FORD RD STE A120, FARMERS BRANCH, TX 75234-7249

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2023
- **Last updated:** 08/31/2023