Individual provider · Type 1 NPI

Jessica Khamvongsa

Durable Medical Equipment & Medical Supplies · Bedford, TX

NPI number 1649865387 Active

Practice location

2812 Jasmine Ct
Bedford, TX 76021-2703

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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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About NPI 1649865387

Jessica Khamvongsa's National Provider Identifier is 1649865387, issued on Mar 4, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Bedford, TX. The record was last updated on Mar 4, 2021.