Dominguez J-Mar LTD

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0073642 Issued in TX

Legal business name

DOMINGUEZ J-MAR LTD

Practice address

207 Loop 193
Wolfforth, TX 79382

Phone

(806) 886-4010

Fax

(806) 866-4061

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Saul Estrada Dominguez

Title

Owner

Phone

(806) 866-4010

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• J-MAR INCONTINENCE SUPPLY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285782789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1384",
            "address_2": "207 E LOOP 193",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793821384",
            "telephone_number": "806-866-4010",
            "fax_number": "806-866-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LOOP 193",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "79382",
            "telephone_number": "806-886-4010",
            "fax_number": "806-866-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGUEZ J-MAR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "SAUL",
        "authorized_official_middle_name": "ESTRADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-866-4010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0073642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91380049",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J-MAR INCONTINENCE SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Chapman, OTR, MOT
• City of Wolfforth
• Beth Ann Cochran, MD
• Averi Conatser, SLP-CCC
• Jaree Elizabeth Cotton
• Randi Elizabeth Ferris, MS, CCC-SLP
• Shannon Marie Fitzpatrick, LBSW
• Tiffany Jenae Ford-Gilchrest, LPC
• Ashlea Freeman, PMHNP-BC
• Frenship Isd

• Parenteral & Enteral Nutrition Supplies (DME) in Wolfforth, TX
• Providers in Wolfforth, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.