Organization
ANGELIC MEDICAL DESIGNS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY J RIOS LVN (OWNER/ PRESIDENT)
(210) 414-9014
Entity
Organization
Contact information
Practice address
7043 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 384-9201
(201) 384-9212
Mailing address
7043 BANDERA RD, SAN ANTONIO, TX 78238-1266
(210) 384-9201
(201) 384-9212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344504101
—
TX
05
—
344504102
—
TX
Enumeration date
05/05/2014
Last updated
06/24/2015
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