Organization
ALAMO CITY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACORY SUMMERS (MANAGING MEMBER)
(803) 908-1312
Entity
Organization
Contact information
Practice address
8103 BREAKAWAY PASS, SAN ANTONIO, TX 78254-4560
(803) 908-1312
Mailing address
8103 BREAKAWAY PASS, SAN ANTONIO, TX 78254-4560
(803) 908-1312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
08/09/2021
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