Organization
JOVIC MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS GBENJO (PRESIDENT)
(281) 709-3207
Entity
Organization
Contact information
Practice address
12525 FONDREN RD STE I, HOUSTON, TX 77035-5226
(281) 709-3207
(713) 771-4784
Mailing address
12525 FONDREN RD STE I, HOUSTON, TX 77035-5226
(281) 709-3207
(713) 771-4784
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TXD0013711
TX
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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