Organization
H&S CHAMPS MEDICAL, LTD
Active
Other names
Champs Medical / Simon and Simon
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HERNANDEZ (OWNER)
(210) 614-1414
Entity
Organization
Contact information
Practice address
7718 LOUIS PASTEUR, SAN ANTONIO, TX 78229
(210) 614-1414
(210) 614-3078
Mailing address
7718 LOUIS PASTEUR, SAN ANTONIO, TX 78229
(210) 614-1414
(210) 614-3078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0052940
TX
332BC3200X
Customized Equipment (DME)
0046750
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0046750
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0046750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140609201
—
TX
05
—
140649801
—
TX
05
—
142484802
—
TX
01
—
2095857
PK
—
01
—
509252
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
09/16/2006
Last updated
02/22/2017
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