Provider Demographics
NPI:1205034709
Name:DURABLE MEDICAL EQUIPMENT SOLUTION
Entity Type:Organization
Organization Name:DURABLE MEDICAL EQUIPMENT SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:A
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-744-3325
Mailing Address - Street 1:8034 CULEBRA RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1882
Mailing Address - Country:US
Mailing Address - Phone:210-744-3325
Mailing Address - Fax:210-521-1924
Practice Address - Street 1:8034 CULEBRA RD
Practice Address - Street 2:SUITE 114
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1882
Practice Address - Country:US
Practice Address - Phone:210-744-3325
Practice Address - Fax:210-521-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32016929591332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment