MEDICARE: US MEDICAL EQUIPMENT & SUPPLY WAREHOUSE

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1699915926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US MEDICAL EQUIPMENT & SUPPLY WAREHOUSE

Provider Business Mailing Address
First Line	:	5415 BANDERA RD
Second Line	:	#504
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1982
Country	:	US
Telephone Number	:	210-216-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 BANDERA RD
Second Line	:	#504
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1982
Country	:	US
Telephone Number	:	210-216-5191
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. EDWARD SALAZAR VARGAS
Credential	:
Telephone Number	:	210-216-5191

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	02/26/2009

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Directions to “US MEDICAL EQUIPMENT & SUPPLY WAREHOUSE ” Practice Location

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