Individual
MARY JESUSA RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7043 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 384-9201
(210) 384-9212
Mailing address
7043 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 384-9201
(210) 384-9212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100551
LICENSE
TX
Enumeration date
06/04/2014
Last updated
06/23/2015
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