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NPI Code Detail

MEDICARE: BEXAR SURGICAL ASSISTANTS LLC

MEDICARE: BEXAR SURGICAL ASSISTANTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2246ZC0007XSurgical Assistant00338TX
3332BX2000XOxygen Equipment & Supplies (DME)
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1558592329
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEXAR SURGICAL ASSISTANTS LLC
Provider Business Mailing Address
First Line : 902 ROLLING GRV
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5759
Country : US
Telephone Number : 210-315-1172
Fax Number : 111-111-1111
Provider Business Practice Location Address
First Line : 6923 W LOOP 1604 N STE 206
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2545
Country : US
Telephone Number : 210-560-2369
Fax Number : 210-560-2362
Authorized Official
Title or Position : OWNER
Name : ALLEN HARRIS
Credential :
Telephone Number : 210-560-2369
Provider Enumeration Date : 07/28/2009
Last Update Date : 09/22/2023

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Directions to “BEXAR SURGICAL ASSISTANTS LLC ” Practice Location

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