# 4D MEDICAL CONCEPTS LLC.

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

## Provider details

- **NPI number:** 1871039008
- **Authorized official:** LEONARD ANTHONY DAVILA (PRESIDENT)
- **Authorized official phone:** (210) 300-3701

## Contact information

- **Practice address:** 815 S SAINT MARYS ST, SAN ANTONIO, TX 78205-3408
- **Practice address phone:** (210) 300-3701
- **Practice address fax:** (877) 497-6972
- **Mailing address:** 317 WILLOW LOOP, CIBOLO, TX 78108-4298
- **Mailing address phone:** (210) 300-3701
- **Mailing address fax:** (877) 497-6972

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2017
- **Last updated:** 01/11/2017