Organization
HEAVENLY DIABETIC SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HORTENCIA MOYERS (PRESIDENT/OWNER)
(210) 779-8697
Entity
Organization
Contact information
Practice address
3700 FREDRICKSBURG RD, SUITE # 230, SAN ANTONIO, TX 78201-3269
(210) 733-7697
(210) 733-5843
Mailing address
3700 FREDRICKSBURG RD, SUITE # 230, SAN ANTONIO, TX 78201-3269
(210) 733-7697
(210) 733-5843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/15/2009
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