Provider Demographics
NPI:1114109824
Name:AMERICAN MEDICAL WHOLESALE INC.
Entity Type:Organization
Organization Name:AMERICAN MEDICAL WHOLESALE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NICK
Authorized Official - Last Name:MAKRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-340-1975
Mailing Address - Street 1:3303 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4538
Mailing Address - Country:US
Mailing Address - Phone:210-340-1975
Mailing Address - Fax:210-576-0445
Practice Address - Street 1:3303 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4538
Practice Address - Country:US
Practice Address - Phone:210-340-1975
Practice Address - Fax:210-576-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0097152332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6058070001Medicare NSC