Provider Demographics
NPI:1497824551
Name:NOVAMEDIX, L.L.C.
Entity Type:Organization
Organization Name:NOVAMEDIX, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-824-6200
Mailing Address - Street 1:1999 GULFMART ST
Mailing Address - Street 2:STE. 536
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6319
Mailing Address - Country:US
Mailing Address - Phone:210-824-6200
Mailing Address - Fax:
Practice Address - Street 1:1999 GULFMART ST
Practice Address - Street 2:STE. 536
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6319
Practice Address - Country:US
Practice Address - Phone:210-824-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies