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NPI Code Detail

MEDICARE: JEF HEALTHCARE SUPPLIES, INC

MEDICARE: JEF HEALTHCARE SUPPLIES, INC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1457353476
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEF HEALTHCARE SUPPLIES, INC
Provider Business Mailing Address
First Line : 4711 HWY 36 S
Second Line : STE 36
City : ROSENBERG
State : TX
Zip : 77471-9686
Country : US
Telephone Number : 281-239-2940
Fax Number : 281-239-2970
Provider Business Practice Location Address
First Line : 4711 HWY 36 S
Second Line : STE 36
City : ROSENBERG
State : TX
Zip : 77471-9686
Country : US
Telephone Number : 281-239-2940
Fax Number : 281-239-2970
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH FONGUM
Credential :
Telephone Number : 281-239-2940
Provider Enumeration Date : 08/10/2005
Last Update Date : 06/30/2009

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Directions to “JEF HEALTHCARE SUPPLIES, INC ” Practice Location

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