| Doctor Name: | MARC A JAMIN |
| NPI Number: | 1730586892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ROA |
| License Number: | 5 |
| Business Practice Address: | 2619 Ne Loop 286 Paris, TX - 754603452 |
| Business Phone Number: | 9037858922 |
| Business Fax Number: | 9037847596 |
| Mailing Address: | 2619 Ne Loop 286, PARIS |
| State: | TX |
| Postal Code: | 754603452 |
| Phone Number: | 9037858922 |
| Fax Number: | 9037847596 |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |