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Organization

CLEAR CHOICE HOME MEDICAL EQUIPMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDALL SCOTT MILLICAN (CEO/PRESIDENT)
(210) 691-8800
Entity
Organization

Contact information

Practice address
4400 N INTERSTATE 35, SAN ANTONIO, TX 78218-5213
(210) 691-8800
(210) 691-8803
Mailing address
4400 N INTERSTATE 35, SAN ANTONIO, TX 78218-5213
(210) 691-8800
(210) 691-8803

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0091043
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0091043
TX

Other

Enumeration date
09/04/2006
Last updated
10/28/2009
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