MEDICARE: NEU TECHNOLOGY INNOVATIONS, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548270408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEU TECHNOLOGY INNOVATIONS, LLC

Provider Business Mailing Address
First Line	:	7804 JONES MALTSBERGER RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6919
Country	:	US
Telephone Number	:	210-698-9377
Fax Number	:	210-698-2544

Provider Business Practice Location Address
First Line	:	7804 JONES MALTSBERGER RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6919
Country	:	US
Telephone Number	:	210-698-9377
Fax Number	:	210-698-2544

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	CHRISTOPHER GUINN
Credential	:
Telephone Number	:	512-468-8949

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/21/2022

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