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Javon Deontay Scott-fletcher
Dialysis Equipment & Supplies (DME) in Humble, Texas
NPI 1609447713

Javon Deontay Scott-fletcher is a Dialysis Equipment & Supplies (DME) based in Humble, TX and is specialized in Dialysis Equipment & Supplies. Javon Deontay Scott-fletcher practices in Humble, TX. The NPI Number for Javon Deontay Scott-fletcher is 1609447713 and holds a License No. 1712206 (Texas).

The current practice location address for Javon Deontay Scott-fletcher is 16307 Mango Ridge Ct, Humble, TX and can be reached out via phone at 713-614-1675.

Location: 16307 Mango Ridge Ct, Humble, TX, 77396-3961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609447713
Provider Name
Javon Deontay Scott-fletcher
Credential
Provider Entity Type
Individual
Gender
Male
Address
16307 Mango Ridge Ct, Humble, TX, 77396-3961
Phone Number
713-614-1675
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41701256 01 TX MEDICAL UNITS
institution
Provider Business Practice Location Address Details
Address
16307 Mango Ridge Ct
City
Humble
State
Texas
Zip
77396-3961
Phone Number
713-614-1675
Fax Number
person
Provider Business Mailing Address Details
Address
16307 Mango Ridge Ct
City
Humble
State
Texas
Zip
77396-3961
Phone Number
713-614-1675
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
1712206 (Texas)
Definition
Definition to come...
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