Organization Name: | DOMINGUEZ J-MAR LTD |
NPI Number: | 1285782789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAUL ESTRADA DOMINGUEZ (OWNER) |
Mailing Address: | 207 Loop 193 Wolfforth |
State: | TX US |
Postal Code: | 79382 |
Phone Number: | 8068864010 |
Fax Number: | 8068664061 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |