Organization
SAN ANTONIO EXTENDED MEDICAL CARE, INC.
Active
Other names
Med Mart - San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BARRERA (PRESIDENT)
(210) 697-9933
Entity
Organization
Contact information
Practice address
21195 IH 10 W, SUITE 1101, SAN ANTONIO, TX 78257-1674
(210) 697-9933
(210) 697-8753
Mailing address
21195 IH 10 W, SUITE 1101, SAN ANTONIO, TX 78257-1674
(210) 697-9933
(210) 697-8753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156986-01
—
TX
05
—
0867822-01
—
TX
01
—
1023589
ACM PRIMARY & SECONDARY
TX
01
—
508280
BCBS
TX
Enumeration date
07/30/2005
Last updated
01/10/2024
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