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Organization
ESSENTIAL DME
Active
Organization
ESSENTIAL DME
Active
Parent organization
ANGEL MED TECH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL MED TECH, LLC
Authorized official
MISS ANNEBELLE ROSE ROQUE (PARTNER)
(210) 430-6327
Entity
Organization
Contact information
Practice address
431 ISOM RD STE 222, SAN ANTONIO, TX 78216-5108
(210) 982-3264
(210) 982-3261
Mailing address
431 ISOM RD STE 222, SAN ANTONIO, TX 78216-5108
(210) 982-3264
(210) 982-3261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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