Organization
RAYMOND HERNANDEZ JR.
Active
Other names
Champs at the Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND HERNANDEZ JR. (OWNER)
(210) 614-1212
Entity
Organization
Contact information
Practice address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1212
(210) 615-7904
Mailing address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1212
(210) 615-7904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0065742
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0065742
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0065742
TX
Other
Enumeration date
05/22/2008
Last updated
10/29/2012
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