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Organization
STATESERV MEDICAL OF SAN ANTONIO
Active
Organization
STATESERV MEDICAL OF SAN ANTONIO
Active
Parent organization
STATESERV MEDICAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATESERV MEDICAL, LLC
Authorized official
CHRISTOPHER ROODE (COO)
(877) 633-7250
Entity
Organization
Contact information
Practice address
4338 TEJASCO DRIVE, SAN ANTONIO, TX 78218
(877) 633-7250
Mailing address
1201 S. ALMA SCHOOL ROAD, SUITE 4000, MESA, AZ 85210
(336) 227-8030
(336) 227-3288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TX32303
TX
Other
Enumeration date
04/22/2015
Last updated
10/07/2020
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