# JUDSON SQUARE MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1972512499
- **Authorized official:** MS. GRACE E RAMOS (PRESIDENT/MANAGER)
- **Authorized official phone:** (210) 945-4722

## Contact information

- **Practice address:** 339 S SEGUIN RD, SUITE 4, CONVERSE, TX 78109-2137
- **Practice address phone:** (210) 945-4722
- **Practice address fax:** (210) 945-4011
- **Mailing address:** 339 S SEGUIN RD, SUITE 4, CONVERSE, TX 78109-2137
- **Mailing address phone:** (210) 945-4722
- **Mailing address fax:** (210) 945-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 13 | TX | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 07/21/2022