Heavenly Diabetic Supplies INC.
Durable Medical Equipment & Medical Supplies in San Antonio, TX. Organization (NPI-2).
NPI number1114151925
StatusActive
Last updated in NPPESMay 15, 2009
Details
- NPI
- 1114151925
- Entity type
- Organization (NPI-2)
- Legal business name
- Heavenly Diabetic Supplies INC.
- Organization subpart
- No
- Enumeration date
- May 7, 2009
- Last updated
- May 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
3700 Fredricksburg RdSuite # 230
San Antonio, TX 78201-3269
Phone 210-733-7697 · Fax 210-733-5843
Mailing address
3700 Fredricksburg RdSuite # 230
San Antonio, TX 78201-3269
Phone 210-733-7697 · Fax 210-733-5843
Authorized official
Hortencia Moyers
President/Owner
2107798697
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