# HOME DIABETIC SUPPLIES LLC

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

## Provider details

- **NPI number:** 1992840151
- **Authorized official:** ARMANDO NATIVIDAD (MEMBER)
- **Authorized official phone:** (210) 223-9128

## Contact information

- **Practice address:** 1716 S SAN MARCOS, SUITE 25, SAN ANTONIO, TX 78207-7094
- **Practice address phone:** (210) 223-9981
- **Practice address fax:** (210) 223-9128
- **Mailing address:** 1716 S SAN MARCOS, SUITE 25, SAN ANTONIO, TX 78207-7094
- **Mailing address phone:** (210) 223-9981
- **Mailing address fax:** (210) 223-9128

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 12/12/2008