# PEQUIN DME-A SALSA INGREDIENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003055674
- **Authorized official:** MS. CHRISTAL TORRENS (PRESIDENT)
- **Authorized official phone:** (210) 479-7704

## Contact information

- **Practice address:** 1313 GUADALUPE ST, STE 203, SAN ANTONIO, TX 78207-5546
- **Practice address phone:** (210) 479-7707
- **Practice address fax:** (210) 479-2692
- **Mailing address:** 4865 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3627
- **Mailing address phone:** (210) 479-7704
- **Mailing address fax:** (210) 479-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0093615 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 07/17/2009