Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE SAUCEDO (ACCOUNTANT)
(210) 259-7624
Entity
Organization
Contact information
Practice address
14603 HUEBNER RD BLDG 2, SAN ANTONIO, TX 78230-5471
(210) 259-7624
Mailing address
1919 OAKWELL FARMS PKWY STE 170, SAN ANTONIO, TX 78218-1856
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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