Organization
CJ SUPPLIER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS J MIGUEZ LEYVA (DIRECTOR)
(214) 982-3373
Entity
Organization
Contact information
Practice address
12000 FORD RD STE A120, FARMERS BRANCH, TX 75234-7249
(214) 982-3373
Mailing address
12000 FORD RD STE A120, FARMERS BRANCH, TX 75234-7249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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