# MAXWELL MEDICAL SERVICES, INC

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

## Provider details

- **NPI number:** 1720034275
- **Authorized official:** MR. LANDON GROFF (ADMINISTRATOR)
- **Authorized official phone:** (210) 340-2217

## Contact information

- **Practice address:** 506 E RAMSEY RD, SUITE 1, SAN ANTONIO, TX 78216-4657
- **Practice address phone:** (210) 340-2217
- **Practice address fax:** (210) 855-7884
- **Mailing address:** 506 E RAMSEY RD STE 1, SAN ANTONIO, TX 78216-4657
- **Mailing address phone:** (210) 340-2217
- **Mailing address fax:** (210) 855-7884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0040222 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0040222 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0040222 | TX | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 03/09/2022