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NPI Code Detail

MEDICARE: H-E-B, LP

MEDICARE: H-E-B, LP
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
1291U00000XClinical Medical Laboratory
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

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

General Provider Information

NPI Number : 1689211575
Entity Type Code : Organization
Provider Name (Legal Business Name) : H-E-B, LP
Provider Business Mailing Address
First Line : 646 S FLORES ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78204-1219
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8801 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-7389
Country : US
Telephone Number : 512-292-8662
Fax Number : 737-236-8383
Authorized Official
Title or Position : GOVERNMENT PROGRAMS MANAGER
Name : DAVID LIENDO
Credential :
Telephone Number : 210-938-3182
Provider Enumeration Date : 12/10/2019
Last Update Date : 08/07/2023

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