Organization
JUDSON SQUARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE E RAMOS (PRESIDENT/MANAGER)
(210) 945-4722
Entity
Organization
Contact information
Practice address
339 S SEGUIN RD, SUITE 4, CONVERSE, TX 78109-2137
(210) 945-4722
(210) 945-4011
Mailing address
339 S SEGUIN RD, SUITE 4, CONVERSE, TX 78109-2137
(210) 945-4722
(210) 945-4011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13
TX
Other
Enumeration date
08/05/2006
Last updated
07/21/2022
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