Judson Square Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

13 Issued in TX

Legal business name

JUDSON SQUARE MEDICAL SUPPLY INC

Practice address

339 S Seguin Rd
Suite 4
Converse, TX 78109-2137

Phone

(210) 945-4722

Fax

(210) 945-4011

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Grace E Ramos

Title

President/Manager

Phone

(210) 945-4722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972512499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S SEGUIN RD",
            "address_2": "SUITE 4",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092137",
            "telephone_number": "210-945-4722",
            "fax_number": "210-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 S SEGUIN RD",
            "address_2": "SUITE 4",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092137",
            "telephone_number": "210-945-4722",
            "fax_number": "210-945-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON SQUARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "210-945-4722",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Converse, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.