Organization
MED MOBILE LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LUIS ALBA (OWNER)
(210) 237-6436
Entity
Organization
Contact information
Practice address
2806 FREDERICKSBURG RD, SUITE 104, SAN ANTONIO, TX 78201-4705
(210) 278-2324
(210) 305-4202
Mailing address
2806 FREDERICKSBURG RD, SUITE 104, SAN ANTONIO, TX 78201-4705
(210) 278-2324
(210) 305-4202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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