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General NPI Number Information
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NPI Number | 1720034275
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Entity Type | Organization
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Legal Business Name | MAXWELL MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 506 E RAMSEY RD SUITE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4657
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Country | US
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Telephone | 210-340-2217
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Fax | 210-855-7884
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Provider Business Mailing Address
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Address Line | 506 E RAMSEY RD STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4657
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Country | US
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Telephone | 210-340-2217
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Fax | 210-855-7884
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LANDON GROFF
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Credential |
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Telephone | 210-340-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0040222
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0040222
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0040222
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License Number State | TX
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