| NPI | 1164422143 |
|---|---|
| Doing Business As | MED MART - SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | CARLOS BARRERA President 210-697-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2024-01-10 |