Organization
GULF BIOMECHANICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E MYERS L.P.O. (OWNER)
(210) 495-3399
Entity
Organization
Contact information
Practice address
8801 TRADEWAY ST, SAN ANTONIO, TX 78217-6114
(210) 495-3399
(210) 495-3393
Mailing address
8801 TRADEWAY ST, SAN ANTONIO, TX 78217-6114
(210) 495-3399
(210) 495-3393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
101325
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017055701
—
TX
05
—
091646202
—
TX
01
—
530555
BLUECROSS O & P
TX
Enumeration date
05/31/2006
Last updated
08/14/2025
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