Organization
JAIME N HERNANDEZ
Active
Other names
WINTERGARDEN MOBILITY REPAIR & SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME NAVA HERNANDEZ (OWNER)
(830) 334-8748
Entity
Organization
Contact information
Practice address
1739 BUSINESS IH 35 EAST, PEARSALL, TX 78061-2804
(830) 334-8748
(830) 334-3135
Mailing address
1739 BUSINESS IH 35 EAST, PEARSALL, TX 78061-2804
(830) 334-8748
(830) 334-3135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649212-01
—
TX
05
—
1649212-02
—
TX
05
—
191179401
—
TX
05
—
191179402
—
TX
Enumeration date
07/20/2005
Last updated
08/18/2008
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