Organization
HUNTLEIGH HOME MEDICAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID FLORES (V.P. OF THE GENERAL PARTNER)
(210) 225-7400
Entity
Organization
Contact information
Practice address
5626 RANDOLPH BLVD, SUITE 2, SAN ANTONIO, TX 78233-6161
(210) 225-7400
Mailing address
5626 RANDOLPH BLVD, SUITE 2, SAN ANTONIO, TX 78233-6161
(210) 225-7400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015531901
—
TX
01
—
016863-0001
SECURE HORIZONS
TX
05
—
086384701
—
TX
05
—
086384702
—
TX
01
—
1028466
UNITED HEALTHCARE/ACM
TX
01
—
530652
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/02/2006
Last updated
01/25/2010
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