institution
Jack Justice
Oxygen Equipment & Supplies (DME) in Pauls Valley, Oklahoma
NPI 1013074111

Jack Justice is a Oxygen Equipment & Supplies (DME) based in Pauls Valley, OK and is specialized in Oxygen Equipment & Supplies. Jack Justice practices in Pauls Valley, OK. The NPI Number for Jack Justice is 1013074111 and holds a License No. 223755 (Oklahoma).

The current practice location address for Jack Justice is 110 Burr Ave, Pauls Valley, OK and can be reached out via phone at 405-238-7391 and via fax at 405-238-1162.

Location: 110 Burr Ave, Pauls Valley, OK, 73075-3848
institution
Provider Profile Details
NPI Number
1013074111
Provider Name
Jack Justice
Credential
Provider Entity Type
Organization
Address
110 Burr Ave, Pauls Valley, OK, 73075-3848
Phone Number
405-238-7391
Fax Number
405-238-1162
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100235750B 05 OK
institution
Provider Business Practice Location Address Details
Address
110 Burr Ave
City
State
Zip
73075-3848
Phone Number
405-238-7391
Fax Number
405-238-1162
person
Provider Business Mailing Address Details
Address
110 Burr Ave
City
State
Zip
73075-3848
Phone Number
405-238-7391
Fax Number
405-238-1162
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
223755 (Oklahoma)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
223755 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
223755 (Oklahoma)
Definition
Definition to come...
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