Organization
JD MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL MCBRIDE (OWNER)
(903) 297-5524
Entity
Organization
Contact information
Practice address
407 GILMER RD, LONGVIEW, TX 75604-4622
(903) 297-5524
(903) 234-8809
Mailing address
407 GILMER RD, LONGVIEW, TX 75604-4622
(903) 297-5524
(903) 234-8809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0054375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148256401
—
TX
Enumeration date
07/12/2005
Last updated
12/26/2013
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