Provider Demographics
NPI:1891972337
Name:AB & MJ CARE LLC
Entity Type:Organization
Organization Name:AB & MJ CARE LLC
Other - Org Name:TEXCARE MEDICAL AND OXYGEN SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-893-0500
Mailing Address - Street 1:2566 MACARTHUR VIEW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4448
Mailing Address - Country:US
Mailing Address - Phone:210-340-1055
Mailing Address - Fax:210-340-1266
Practice Address - Street 1:2012 N VALLEY MILLS DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2561
Practice Address - Country:US
Practice Address - Phone:254-399-0804
Practice Address - Fax:254-399-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0101597332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5602630003Medicare NSC