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Organization
RAYMOND HERNANDEZ JR.
Active
Organization
RAYMOND HERNANDEZ JR.
Active
Other names
Champs at the Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND HERNANDEZ JR. (OWNER)
(210) 614-1212
Entity
Organization
Contact information
Practice address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1212
(210) 615-7904
Mailing address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1212
(210) 615-7904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065742
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0065742
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0065742
TX
Other
Enumeration date
05/22/2008
Last updated
10/29/2012
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