Organization
MAXWELL MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDON GROFF (ADMINISTRATOR)
(210) 340-2217
Entity
Organization
Contact information
Practice address
506 E RAMSEY RD, SUITE 1, SAN ANTONIO, TX 78216-4657
(210) 340-2217
(210) 855-7884
Mailing address
506 E RAMSEY RD STE 1, SAN ANTONIO, TX 78216-4657
(210) 340-2217
(210) 855-7884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0040222
TX
332BC3200X
Customized Equipment (DME)
0040222
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0040222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016908801
—
TX
05
—
016908802
—
TX
Enumeration date
05/26/2006
Last updated
03/09/2022
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