Organization
ALAMO CITY DURABLE MEDICAL EQUIPMENT, LLC
Active
Other names
Alliance Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LYNN HOLSTEAD (DIRECTOR OF OPERATIONS)
(210) 737-2444
Entity
Organization
Contact information
Practice address
10643 SENTINEL ST, SAN ANTONIO, TX 78217-3811
(210) 829-5900
(210) 829-3760
Mailing address
10643 SENTINEL ST, SAN ANTONIO, TX 78217-3811
(210) 829-5900
(210) 829-3760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357136601
—
TX
Enumeration date
11/04/2013
Last updated
05/12/2020
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