Organization
NEW ABILITIES MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE PETERSON ATP, CRTS (PRESIDENT)
(210) 375-0003
Entity
Organization
Contact information
Practice address
10821 GULFDALE, SAN ANTONIO, TX 78216-3608
(210) 375-0003
(210) 375-0009
Mailing address
10821 GULFDALE, SAN ANTONIO, TX 78216-3608
(210) 375-0003
(210) 375-0009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0063893
TX
332BC3200X
Customized Equipment (DME)
0063893
TX
332BC3200X
Customized Equipment (DME)
1004576
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0063893
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0063893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10070285
AMERIGROUP COMMUNITY CARE
TX
05
—
1529117-01
—
TX
05
—
1529117-02
—
TX
01
—
152911702
MOLINA HEALTHCARE
TX
05
—
152911702
—
TX
01
—
208011900
ACS DEPARTMENT OF LABOR
TX
01
—
4516011
BRAVO HEALTHCARE
—
01
—
531538
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/30/2005
Last updated
05/14/2009
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