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Organization

ALLIANCE MEDICAL SUPPLY, LLC

Active
Other names
Pediatric Home Service, Alliance Medical Supply, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
CAMEO KAE ZEHNDER (CHIEF ADMINISTRATIVE OFFICER)
(651) 642-1825
Entity
Organization

Contact information

Practice address
1070 ARION CIR STE 164, SAN ANTONIO, TX 78216-2839
(210) 737-2444
(210) 737-2445
Mailing address
1070 ARION CIR STE 164, SAN ANTONIO, TX 78216-2839
(210) 737-2444
(210) 737-2445

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010067901
MEDICAID CCP
TX
05
010067901
TX
05
011483701
TX
01
078870501
MEDICAID CIDC
TX
Enumeration date
07/19/2006
Last updated
12/22/2025
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