Organization
PRAN MEDICAL LLC
Active
Other names
Primo Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIJAYALAXMI KATEPALLI (OWNER)
(210) 519-5311
Entity
Organization
Contact information
Practice address
7515 GRISSOM RD, 107, SAN ANTONIO, TX 78251-4746
(210) 519-5311
(210) 399-3561
Mailing address
7515 GRISSOM RD, 107, SAN ANTONIO, TX 78251-4746
(210) 519-5311
(210) 399-3561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
TX
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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