Organization
IDEAL SHOES & MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A SALAZAR (PRESIDENT)
(210) 822-2969
Entity
Organization
Contact information
Practice address
10111 BROADWAY ST, SAN ANTONIO, TX 78217-4420
(210) 822-2969
(210) 822-2674
Mailing address
10111 BROADWAY ST, SAN ANTONIO, TX 78217-4420
(210) 822-2969
(210) 822-2674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
07/21/2022
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