Organization
JESSE MEDICAL EQUIPMENTS AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX NWAOKOLO (PRESIDENT)
(214) 553-9320
Entity
Organization
Contact information
Practice address
9550 FOREST LN STE 214, DALLAS, TX 75243-6074
(214) 553-9320
(241) 221-7768
Mailing address
9550 FOREST LN STE 214, DALLAS, TX 75243-6074
(214) 553-9320
(241) 221-7768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0099197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195048702
—
TX
Enumeration date
04/09/2007
Last updated
09/14/2010
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