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Organization
SUMMIT DME OF SAN ANTONIO
Active
Organization
SUMMIT DME OF SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MCCORMICK (OWNER)
(210) 521-9800
Entity
Organization
Contact information
Practice address
4111 TODD LN, SUITE 100, AUSTIN, TX 78744-1149
(512) 617-6155
Mailing address
1070 ARION CIR, SUITE 164, SAN ANTONIO, TX 78216-2838
(210) 521-9800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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