Organization
M.D.S. INTERESTS, LLC.
Active
Other names
Ideal Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO HERRERA C.PED. (MANAGER)
(830) 854-2180
Entity
Organization
Contact information
Practice address
118 E UVALDE ST, CRYSTAL CITY, TX 78839-3510
(830) 854-2180
Mailing address
118 E UVALDE ST, CRYSTAL CITY, TX 78839-3510
(830) 854-2180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001719
TX
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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