Provider Demographics
NPI:1245840941
Name:JOUD LEEN INC.
Entity type:Organization
Organization Name:JOUD LEEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-571-3907
Mailing Address - Street 1:10701 CORPORATE DR STE 340-115
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4096
Mailing Address - Country:US
Mailing Address - Phone:469-571-3907
Mailing Address - Fax:
Practice Address - Street 1:14019 SOUTHWEST FWY STE 407
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3564
Practice Address - Country:US
Practice Address - Phone:469-571-3907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies