# PLEXUS MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1760005763
- **Authorized official:** JAYLN JOHNSON (OWNER)
- **Authorized official phone:** (254) 433-1119

## Contact information

- **Practice address:** 1510 HIGHWAY 206, CISCO, TX 76437-6450
- **Practice address phone:** (254) 442-4878
- **Mailing address:** 1510 HIGHWAY 206, CISCO, TX 76437-6450

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 05/26/2020