Provider Demographics
NPI:1407108723
Name:JCBC INCORPORATED
Entity Type:Organization
Organization Name:JCBC INCORPORATED
Other - Org Name:AC MEDICAL SUPPLIES & EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-447-2300
Mailing Address - Street 1:412 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3508
Practice Address - Country:US
Practice Address - Phone:281-447-2300
Practice Address - Fax:281-447-2307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JCBC INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment