Provider Demographics
NPI:1679871545
Name:J N J DME, LLC
Entity type:Organization
Organization Name:J N J DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-222-3156
Mailing Address - Street 1:7519 CLAVELE ST.
Mailing Address - Street 2:SUITE C
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-581-0193
Mailing Address - Fax:956-581-0199
Practice Address - Street 1:7519 CLAVELES ST
Practice Address - Street 2:SUITE C
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-8330
Practice Address - Country:US
Practice Address - Phone:956-581-0193
Practice Address - Fax:956-581-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies