Organization
GREYSTAR HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL LEIJA JR. (CEO)
(956) 462-2049
Entity
Organization
Contact information
Practice address
11631 CULEBRA RD UNIT 499, SAN ANTONIO, TX 78253-6999
(956) 462-2049
(956) 462-2035
Mailing address
11631 CULEBRA RD UNIT 499, SAN ANTONIO, TX 78253-6999
(956) 462-2049
(956) 462-2035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396386001
—
TX
Enumeration date
06/04/2022
Last updated
04/09/2024
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