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NPI 1639681968

NPI 1639681968 : MEDICAL PLUS SUPPLIES, INC. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1639681968
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL PLUS SUPPLIES, INC. 
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Dates
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    Enumeration Date     |    10/26/2017
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    Last Update Date     |    10/26/2017
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Provider Practice Location Address
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    Address Line         |    2896 BLANCO RD STE 101 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212-1811
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    Country              |    US
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    Telephone            |    800-298-3948
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 84110 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77584-0018
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    Country              |    US
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    Telephone            |    800-298-3948
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    Fax                  |    888-331-4002
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ESTEBAN  RODRIGUEZ 
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    Credential           |    
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    Telephone            |    800-298-3948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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