Organization
CRAWFORD MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PREM KALIDINDI (MANAGING MEMBER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
2608 N MAIN AVE, SUITE 2, SAN ANTONIO, TX 78212-2919
(210) 225-7400
(210) 569-6266
Mailing address
2608 N MAIN AVE, SUITE 2, SAN ANTONIO, TX 78212-2919
(210) 225-7400
(210) 569-6266
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
11/30/2011
Last updated
04/12/2013
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