# JANSEN MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1811980527
- **Authorized official:** MR. JEFFREY A JANSEN (PRESIDENT)
- **Authorized official phone:** (713) 896-4050

## Contact information

- **Practice address:** 6125 W SAM HOUSTON PKWY N, SUITE 201, HOUSTON, TX 77041-5129
- **Practice address phone:** (713) 896-4050
- **Practice address fax:** (713) 896-4080
- **Mailing address:** 6125 W SAM HOUSTON PKWY N, SUITE 201, HOUSTON, TX 77041-5129
- **Mailing address phone:** (713) 896-4050
- **Mailing address fax:** (713) 896-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0075611 | TX | Yes |

## Other

- **Enumeration date:** 08/27/2005
- **Last updated:** 08/22/2020