# M.D.S. INTERESTS, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ideal Shoes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174047922
- **Authorized official:** FERNANDO HERRERA C.PED. (MANAGER)
- **Authorized official phone:** (830) 854-2180

## Contact information

- **Practice address:** 118 E UVALDE ST, CRYSTAL CITY, TX 78839-3510
- **Practice address phone:** (830) 854-2180
- **Mailing address:** 118 E UVALDE ST, CRYSTAL CITY, TX 78839-3510
- **Mailing address phone:** (830) 854-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001719 | TX | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 07/21/2022
