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Med Mobile Life

Durable Medical Equipment & Medical Supplies in San Antonio, TX. Organization (NPI-2).

NPI number1982004396
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1982004396
Entity type
Organization (NPI-2)
Legal business name
Med Mobile Life
Organization subpart
No
Enumeration date
Sep 4, 2014
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

2806 Fredericksburg Rd
Suite 104
San Antonio, TX 78201-4705

Phone 210-278-2324 · Fax 210-305-4202

Mailing address

2806 Fredericksburg Rd
Suite 104
San Antonio, TX 78201-4705

Phone 210-278-2324 · Fax 210-305-4202

Authorized official

Juan Luis Alba
Owner
2102376436

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