Healthcare Provider Details

I. General information

NPI: 1164664629
Provider Name (Legal Business Name): DCOL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E CRAIG PL
SAN ANTONIO TX
78212-3547
US

IV. Provider business mailing address

219 E CRAIG PL
SAN ANTONIO TX
78212-3547
US

V. Phone/Fax

Practice location:
  • Phone: 210-227-3612
  • Fax: 210-227-3621
Mailing address:
  • Phone: 210-227-3612
  • Fax: 210-227-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK STOLMEIER
Title or Position: PRESIDENT
Credential:
Phone: 210-227-3612