MEDICARE: JHAMB ENTERPRISES, 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	0079872	TX

General Provider Information

NPI Number	:	1962438481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JHAMB ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6199
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76115-0199
Country	:	US
Telephone Number	:	817-820-0505
Fax Number	:	817-820-0576

Provider Business Practice Location Address
First Line	:	707 NORTH FWY
Second Line	:	SUITE 119
City	:	FORT WORTH
State	:	TX
Zip	:	76102-1702
Country	:	US
Telephone Number	:	817-820-0505
Fax Number	:	817-820-0576

Authorized Official
Title or Position	:	SECRETARY
Name	:	JAMES KEVIN BOWLES
Credential	:
Telephone Number	:	817-820-0505

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	08/22/2020

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