# JESSE MEDICAL EQUIPMENTS AND SUPPLIES

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

## Provider details

- **NPI number:** 1619090180
- **Authorized official:** MR. FELIX NWAOKOLO (PRESIDENT)
- **Authorized official phone:** (214) 553-9320

## Contact information

- **Practice address:** 9550 FOREST LN STE 214, DALLAS, TX 75243-6074
- **Practice address phone:** (214) 553-9320
- **Practice address fax:** (241) 221-7768
- **Mailing address:** 9550 FOREST LN STE 214, DALLAS, TX 75243-6074
- **Mailing address phone:** (214) 553-9320
- **Mailing address fax:** (241) 221-7768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0099197 | TX | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 09/14/2010
