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NPI Code Detail

MEDICARE: JIMMY CARDENAS DME

MEDICARE: JIMMY CARDENAS DME
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1598116246
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMMY CARDENAS DME
Provider Business Mailing Address
First Line : 1717 CAPITOL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-4643
Country : US
Telephone Number : 210-785-8112
Fax Number : 210-785-8113
Provider Business Practice Location Address
First Line : 1717 CAPITOL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-4643
Country : US
Telephone Number : 210-785-8112
Fax Number : 210-785-8113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2016
Last Update Date : 06/23/2016

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Directions to “ JIMMY CARDENAS DME” Practice Location

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