J-Mar Incontinence Supply

LBN: Dominguez J-Mar Ltd
J-Mar Incontinence Supply is an health care organization with primary practice located at 207 Loop 193 , Wolfforth TX 79382. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Dominguez J-Mar Ltd can be contacted via phone (806) 886-4010, or through Dominguez, Saul Estrada via phone (806) 866-4010.

Contact Information

Primary practice address
207 Loop 193 Wolfforth TX 79382
Fax: (806) 866-4061
Website:
Authorized official contact:
Name: Dominguez, Saul Estrada

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0073642 Texas

Profile Details

NPI number 1285782789
LBN Legal business name Dominguez J-Mar Ltd
DBA Doing business as J-Mar Incontinence Supply
Authorized official Dominguez, Saul Estrada
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285782789 NPPES
New Mexico MEDICAID 91380049

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