Organization
BLUEWAVE SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A VAN SWELM (AUTHORIZED OFFICIAL)
(512) 382-0132
Entity
Organization
Contact information
Practice address
223 W ANDERSON LN STE B202, AUSTIN, TX 78752-1135
(512) 382-0132
(737) 381-1177
Mailing address
223 W ANDERSON LN STE B202, AUSTIN, TX 78752-1135
(512) 382-0132
(737) 381-1177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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