Organization
4D MEDICAL CONCEPTS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD ANTHONY DAVILA (PRESIDENT)
(210) 300-3701
Entity
Organization
Contact information
Practice address
815 S SAINT MARYS ST, SAN ANTONIO, TX 78205-3408
(210) 300-3701
(877) 497-6972
Mailing address
317 WILLOW LOOP, CIBOLO, TX 78108-4298
(210) 300-3701
(877) 497-6972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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