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Mrs. Jessica Khamvongsa
Durable Medical Equipment & Medical Supplies in Bedford, Texas
NPI 1649865387

Jessica Khamvongsa is a Durable Medical Equipment & Medical Supplies based in Bedford, TX. Jessica Khamvongsa practices in Bedford, TX. The NPI Number for Jessica Khamvongsa is 1649865387 and holds a License No. (Texas).

The current practice location address for Jessica Khamvongsa is 2812 Jasmine Ct, Bedford, TX and can be reached out via phone at 817-505-3488.

Location: 2812 Jasmine Ct, Bedford, TX, 76021-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649865387
Provider Name
Jessica Khamvongsa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2812 Jasmine Ct, Bedford, TX, 76021-2703
Phone Number
817-505-3488
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2812 Jasmine Ct
City
Bedford
State
Texas
Zip
76021-2703
Phone Number
817-505-3488
Fax Number
person
Provider Business Mailing Address Details
Address
2812 Jasmine Ct
City
Bedford
State
Texas
Zip
76021-2703
Phone Number
817-505-3488
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
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