Organization
G A P LIGHTHOUSE MEDICAL EQUIPMENT AND REPAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON WEATHERSPOON (OWNER)
(210) 627-5570
Entity
Organization
Contact information
Practice address
5504 BANDERA RD, SUITE 601, LEON VALLEY, TX 78238-1943
(210) 627-5570
(210) 807-9664
Mailing address
5504 BANDERA RD, SUITE 601, LEON VALLEY, TX 78238-1943
(210) 627-5570
(210) 807-9664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
01/15/2019
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