# SUMMIT DME OF SAN ANTONIO

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

## Provider details

- **NPI number:** 1225207459
- **Authorized official:** SHAWN MCCORMICK (OWNER)
- **Authorized official phone:** (210) 521-9800

## Contact information

- **Practice address:** 4111 TODD LN, SUITE 100, AUSTIN, TX 78744-1149
- **Practice address phone:** (512) 617-6155
- **Mailing address:** 1070 ARION CIR, SUITE 164, SAN ANTONIO, TX 78216-2838
- **Mailing address phone:** (210) 521-9800

## Taxonomy

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