Organization
SAN ANTONIO EXTENDED MEDICAL CARE, INC.
Active
Other names
Med Mart Pleasanton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS BARRERA (VICE-PRESIDENT)
(210) 697-9933
Entity
Organization
Contact information
Practice address
918 E HIGHWAY 97, PLEASANTON, TX 78064-2730
(830) 281-5360
(830) 281-5354
Mailing address
21195 IH 10 W, SUITE # 1101, SAN ANTONIO, TX 78257-1674
(830) 281-5360
(830) 281-5354
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025667
ACM
TX
05
—
175612401
—
TX
05
—
175612402
—
TX
01
—
532348
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/24/2006
Last updated
05/29/2012
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