Organization
AMERICAN MEDICAL & REHAB COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA SMITH (VICE PRESIDENT)
(210) 967-5000
Entity
Organization
Contact information
Practice address
5441 BREWSTER ST, SAN ANTONIO, TX 78233-5725
(210) 967-5000
(210) 967-5010
Mailing address
5441 BREWSTER ST, SAN ANTONIO, TX 78233-5725
(210) 967-5000
(210) 967-5010
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0059505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012633
—
TX
05
—
149456901
—
TX
05
—
149456902
—
TX
05
—
149456903
—
TX
01
—
310120800
US DEPT OF LABOR
TX
01
—
531699
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/23/2005
Last updated
12/20/2023
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