Organization
BENJAMINO LOUIS GRANATO
Active
Other names
Alpha Diabetic Supply
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMINO L GRANATO (OWNER)
(210) 521-5884
Entity
Organization
Contact information
Practice address
6415 BANDERA RD, SAN ANTONIO, TX 78238-1512
(210) 521-5884
(210) 521-0074
Mailing address
PO BOX 761801, SAN ANTONIO, TX 78245-6801
(210) 521-5884
(210) 521-0074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0079071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141811301
—
TX
Enumeration date
05/11/2006
Last updated
09/23/2009
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