MEDICARE: JST MEDICAL EQUIPMENT, LLC

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	:	1316045321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JST MEDICAL EQUIPMENT, LLC

Provider Business Mailing Address
First Line	:	5116 BISSONNET ST
Second Line	:	#359
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4007
Country	:	US
Telephone Number	:	281-974-3399
Fax Number	:	866-598-1612

Provider Business Practice Location Address
First Line	:	4003 BELLAIRE BLVD
Second Line	:	STE F
City	:	HOUSTON
State	:	TX
Zip	:	77025-1160
Country	:	US
Telephone Number	:	281-974-3399
Fax Number	:	866-598-1612

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEVEN CELA
Credential	:
Telephone Number	:	281-974-3399

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	12/16/2010

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