Provider Demographics
NPI:1467502674
Name:J&O ENTERPRISES
Entity Type:Organization
Organization Name:J&O ENTERPRISES
Other - Org Name:TEXAS MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-577-9503
Mailing Address - Street 1:1706 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5705
Mailing Address - Country:US
Mailing Address - Phone:915-577-9503
Mailing Address - Fax:915-577-9508
Practice Address - Street 1:1706 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5705
Practice Address - Country:US
Practice Address - Phone:915-577-9503
Practice Address - Fax:915-577-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX517156OtherBCBS OF TEXAS
NML1356Medicaid
TX0679070001Medicare ID - Type Unspecified