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Organization

ESSENTIAL DME

Active
Parent organization
ANGEL MED TECH, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANGEL MED TECH, LLC
Authorized official
MISS ANNEBELLE ROSE ROQUE (PARTNER)
(210) 430-6327
Entity
Organization

Contact information

Practice address
431 ISOM RD STE 222, SAN ANTONIO, TX 78216-5108
(210) 982-3264
(210) 982-3261
Mailing address
431 ISOM RD STE 222, SAN ANTONIO, TX 78216-5108
(210) 982-3264
(210) 982-3261

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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