Provider Demographics
NPI:1033236120
Name:S J MEDICAL SERVICES
Entity Type:Organization
Organization Name:S J MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHANES
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-541-2990
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-0582
Mailing Address - Country:US
Mailing Address - Phone:832-541-2990
Mailing Address - Fax:281-852-4387
Practice Address - Street 1:18323 ATASCA WOODS TRCE
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3293
Practice Address - Country:US
Practice Address - Phone:832-541-2990
Practice Address - Fax:281-852-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies