Organization
PLATINUM INNOVATIONS LTD
Active
Other names
SOLE SUPPORT MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MARC WEISS (OWNER)
(210) 615-0004
Entity
Organization
Contact information
Practice address
7400 LOUIS PASTEUR DR, STE. 112, SAN ANTONIO, TX 78229-4514
(210) 615-0004
(210) 615-0007
Mailing address
7400 LOUIS PASTEUR DR, STE. 112, SAN ANTONIO, TX 78229-4510
(210) 615-0004
(210) 615-0007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000531702
BLUE CROSS
TX
05
—
10300040
—
NM
05
—
1455211
—
LA
05
—
159805401
—
TX
05
—
1623890
—
LA
05
—
830027
—
AZ
Enumeration date
01/25/2006
Last updated
04/11/2012
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