Organization
M P HEALTHCARE MEDICAL SUPPLY LLC
Active
Other names
M P Healthcare Medical Supply LLC, Procare MMS
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY CALLAWAY (OFFICE MANAGER)
(713) 864-1111
Entity
Organization
Contact information
Practice address
224 E RAMSEY RD, SAN ANTONIO, TX 78216-4607
(713) 864-1111
(713) 864-5215
Mailing address
224 E RAMSEY RD, SAN ANTONIO, TX 78216-4607
(713) 864-1111
(713) 864-5215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010821903
—
TX
01
—
10018101
AMERIGROUP
TX
Enumeration date
04/11/2006
Last updated
09/05/2024
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