Organization
PEQUIN DME-A SALSA INGREDIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTAL TORRENS (PRESIDENT)
(210) 479-7704
Entity
Organization
Contact information
Practice address
1313 GUADALUPE ST, STE 203, SAN ANTONIO, TX 78207-5546
(210) 479-7707
(210) 479-2692
Mailing address
4865 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3627
(210) 479-7704
(210) 479-2692
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0093615
TX
Other
Enumeration date
02/05/2009
Last updated
07/17/2009
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