# WATERLOO MEDICAL

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

## Provider details

- **NPI number:** 1306314257
- **Authorized official:** STEVEN ANDREW DEFFEE (CEO)
- **Authorized official phone:** (210) 725-0110

## Contact information

- **Practice address:** 9002 JODIE LN, AUSTIN, TX 78748-6390
- **Practice address phone:** (210) 725-0110
- **Mailing address:** 9002 JODIE LN, AUSTIN, TX 78748-6390
- **Mailing address phone:** (210) 725-0110

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 11/08/2018