Organization
JAZA CORPORATION
Active
Other names
JAZA MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E ODEMWINGIE (PRESIDENT)
(214) 340-7458
Entity
Organization
Contact information
Practice address
10721 PLANO RD, SUITE 200, DALLAS, TX 75238-5348
(214) 340-7458
(214) 341-9034
Mailing address
10721 PLANO RD, SUITE 200, DALLAS, TX 75238-5348
(214) 340-7458
(214) 341-9034
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0043164
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0043164
TX
Other
Enumeration date
07/01/2006
Last updated
09/11/2025
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