Organization
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Active
Other names
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELPHINA C MITIMA-SAMUEL PHD (DIRECTOR)
(409) 350-8167
Entity
Organization
Contact information
Practice address
12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
(409) 350-8167
(281) 741-9008
Mailing address
12315 BELLAIRE BLVD STE 800, HOUSTON, TX 77072-2557
(409) 350-8167
(281) 741-9008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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