Organization
URIAH CALDERA
Active
Other names
alamo medical supplies
Organization subpart
No
Provider details
NPI number
Authorized official
URIAH BLUE CALDERA (OWNER)
(210) 325-5394
Entity
Organization
Contact information
Practice address
2406 E HOUSTON ST, SAN ANTONIO, TX 78202-3124
(210) 229-9000
(210) 229-9005
Mailing address
375 ANTON DR, SAN ANTONIO, TX 78223-3321
(210) 325-5394
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0095551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095551
MULTIPLE PRODUCT LICENSE
TX
05
—
193666801
—
TX
Enumeration date
05/07/2007
Last updated
09/09/2008
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