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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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