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Organization
SAN ANTONIO EXTENDED MEDICAL CARE, INC.
Active
Organization
SAN ANTONIO EXTENDED MEDICAL CARE, INC.
Active
Other names
Med Mart
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BARRERA (PRESIDENT)
(210) 697-9933
Entity
Organization
Contact information
Practice address
1080 CROWN RIDGE BLVD STE 1, EAGLE PASS, TX 78852-3496
(830) 757-4416
(830) 757-5550
Mailing address
21195 W INTERSTATE 10 STE 1101, SAN ANTONIO, TX 78257-1675
(210) 697-9933
(210) 697-8753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
—
TX
Other
Enumeration date
06/08/2006
Last updated
01/10/2024
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