Organization
DYNAMIC MEDICAL LLC
Active
Other names
Dynamic Medical Solutions, Intimate Choice Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA L MENDOZA COF, CFO, CMF (MARKETING DIRECTOR)
(210) 876-1130
Entity
Organization
Contact information
Practice address
13807 RED MAPLE WOOD STE 201B, SAN ANTONIO, TX 78249-3707
(210) 876-1130
(210) 455-1202
Mailing address
13807 RED MAPLE WOOD STE 201B, SAN ANTONIO, TX 78249-3707
(210) 876-1130
(210) 455-1202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
01/31/2023
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