Organization
SAN JOSE SUPPLIES
Active
Organization
SAN JOSE SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KNIGHT (MANAGER)
(713) 755-6565
Entity
Organization
Contact information
Practice address
4609 ERNEST DR, FOREST PARK, GA 30297-3573
(713) 755-6565
Mailing address
4609 ERNEST DR, FOREST PARK, GA 30297-3573
(713) 755-6565
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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