Healthcare Provider Details

I. General information

NPI: 1730286915
Provider Name (Legal Business Name): XLL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 W RHAPSODY DR STE B
SAN ANTONIO TX
78216-2638
US

IV. Provider business mailing address

622 W RHAPSODY DR STE B
SAN ANTONIO TX
78216-2638
US

V. Phone/Fax

Practice location:
  • Phone: 210-979-7800
  • Fax: 210-979-7806
Mailing address:
  • Phone: 210-979-7800
  • Fax: 210-979-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. YVETTE BUENO
Title or Position: OWNER
Credential: RN
Phone: 210-979-7800