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Organization
DIANNE M. GREJTAK
Active
Organization
DIANNE M. GREJTAK
Active
Other names
Medical Specialty Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE M. GREJTAK (OWNER)
(210) 614-3360
Entity
Organization
Contact information
Practice address
4944 RESEARCH DR, SAN ANTONIO, TX 78240-5006
(210) 614-3360
(210) 614-3362
Mailing address
4944 RESEARCH DR, SAN ANTONIO, TX 78240-5006
(210) 614-3360
(210) 614-3362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065742
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0065742
TX
Other
Enumeration date
11/01/2006
Last updated
08/29/2011
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