Organization
DOMINGUEZ J-MAR LTD
Active
Other names
J-MAR INCONTINENCE SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAUL ESTRADA DOMINGUEZ (OWNER)
(806) 866-4010
Entity
Organization
Contact information
Practice address
207 LOOP 193, WOLFFORTH, TX 79382
(806) 886-4010
(806) 866-4061
Mailing address
PO BOX 1384, 207 E LOOP 193, WOLFFORTH, TX 79382-1384
(806) 866-4010
(806) 866-4061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0073642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91380049
—
NM
Enumeration date
01/08/2007
Last updated
09/11/2025
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