Organization
JOHNSON PATIENT-CARE SUPPLIES INC
Active
Other names
Patient Care Supplies Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHIELA DAWN JOHNSON MA CMRT (PRESIDENT)
(936) 334-1545
Entity
Organization
Contact information
Practice address
619 MAIN ST, LIBERTY, TX 77575-4811
(936) 334-1545
(936) 334-1558
Mailing address
PO BOX 117, MONT BELVIEU, TX 77580
(936) 334-1545
(936) 334-1558
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087210301
—
TX
Enumeration date
08/24/2006
Last updated
12/09/2010
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