MEDICARE: J & D MEDSUPPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457413148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & D MEDSUPPORT

Provider Business Mailing Address
First Line	:	7322 SOUTHWEST FWY
Second Line	:	SUITE 1100
City	:	HOUSTON
State	:	TX
Zip	:	77074-2010
Country	:	US
Telephone Number	:	713-981-3255
Fax Number	:	713-981-3256

Provider Business Practice Location Address
First Line	:	7322 SOUTHWEST FWY
Second Line	:	SUITE 1100
City	:	HOUSTON
State	:	TX
Zip	:	77074-2010
Country	:	US
Telephone Number	:	713-981-3255
Fax Number	:	713-981-3256

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	TABI JAMES CHU
Credential	:
Telephone Number	:	713-981-3255

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	08/22/2020

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Directions to “J & D MEDSUPPORT ” Practice Location

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