Organization
SAN AN DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BLAKELEY (SECRETARY)
(210) 787-1656
Entity
Organization
Contact information
Practice address
3201 CHERRY RIDGE ST STE B220, SAN ANTONIO, TX 78230-4842
(210) 787-1656
Mailing address
PO BOX 734294, DALLAS, TX 75373-4294
(210) 787-1656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
10/08/2019
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