C3MJ Medical Supplies

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

C3MJ MEDICAL SUPPLIES

Practice address

11651 Wren Crossing Dr
Houston, TX 77038-3616

Phone

(832) 452-7599

Fax

(281) 999-1340

NPI assigned

Jan 12, 2013

Organization subpart

No

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

Authorized official

Name

Julia Davenport Hawkins

Title

Owner

Phone

(832) 452-7599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1497092357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 WREN CROSSING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770383616",
            "telephone_number": "832-452-7599",
            "fax_number": "281-999-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 WREN CROSSING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770383616",
            "telephone_number": "832-452-7599",
            "fax_number": "281-999-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3MJ MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT HAWKINS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-452-7599"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ann Caballero, PSY.D.
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• Nursing Facility Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Nursing Facility Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.