# SAN ANTONIO MEDICAL SUPPLIES & HOME MODIFICATIONS

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

## Provider details

- **NPI number:** 1104153469
- **Authorized official:** MS. DONNA REYNA (OWNER)
- **Authorized official phone:** (210) 737-7269

## Contact information

- **Practice address:** 1500 FREDERICKSBURG RD, STE B, SAN ANTONIO, TX 78201-5029
- **Practice address phone:** (210) 737-7269
- **Practice address fax:** (210) 737-7262
- **Mailing address:** 1500 FREDERICKSBURG RD, STE B, SAN ANTONIO, TX 78201-5029
- **Mailing address phone:** (210) 737-7269
- **Mailing address fax:** (210) 737-7262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0108615 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 06/28/2012