Provider Demographics
NPI:1689624421
Name:JINCS MEDICAL SUPPLIES & ACE INC
Entity Type:Organization
Organization Name:JINCS MEDICAL SUPPLIES & ACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:C
Authorized Official - Last Name:ENEREMADU
Authorized Official - Suffix:
Authorized Official - Credentials:CBCS
Authorized Official - Phone:214-340-3777
Mailing Address - Street 1:9550 FOREST LANE
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6182
Mailing Address - Country:US
Mailing Address - Phone:214-340-3777
Mailing Address - Fax:214-340-5777
Practice Address - Street 1:9550 FOREST LANE
Practice Address - Street 2:SUITE 520
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6182
Practice Address - Country:US
Practice Address - Phone:214-340-3777
Practice Address - Fax:214-340-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087300332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies