# WINTERGARDEN MOBILITY REPAIR &SUPPLIES,INCOR

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

## Provider details

- **NPI number:** 1043417827
- **Authorized official:** MR. JAIME N HERNANDEZ (PRESIDENT)
- **Authorized official phone:** (830) 334-8748

## Contact information

- **Practice address:** 1739 BIH 35 EAST, PEARSALL, TX 78061-2804
- **Practice address phone:** (830) 334-8748
- **Practice address fax:** (830) 334-3135
- **Mailing address:** 1739 BIH 35 EAST, PEARSALL, TX 78061-2804
- **Mailing address phone:** (830) 334-8748
- **Mailing address fax:** (830) 334-3135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 01/17/2013