Provider Demographics
NPI:1710270533
Name:J&B DME LLC
Entity Type:Organization
Organization Name:J&B DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESCARLET
Authorized Official - Middle Name:LIZETTE
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-485-9755
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78595-0869
Mailing Address - Country:US
Mailing Address - Phone:956-485-9755
Mailing Address - Fax:956-485-9755
Practice Address - Street 1:100 FLORES ST
Practice Address - Street 2:UNIT 2
Practice Address - City:SULLIVAN CITY
Practice Address - State:TX
Practice Address - Zip Code:78595
Practice Address - Country:US
Practice Address - Phone:956-485-9755
Practice Address - Fax:956-485-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies