Provider Demographics
NPI:1720406077
Name:MIA CHRISTIAN AND AIDON ENTERPRISES LLC
Entity Type:Organization
Organization Name:MIA CHRISTIAN AND AIDON ENTERPRISES LLC
Other - Org Name:MEDSOUTH DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:2108-850-1144
Mailing Address - Street 1:7034 SNOWFLAKE DR
Mailing Address - Street 2:STE. 2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1466
Mailing Address - Country:US
Mailing Address - Phone:210-462-9400
Mailing Address - Fax:210-462-9402
Practice Address - Street 1:7034 SNOWFLAKE DR
Practice Address - Street 2:STE. 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1466
Practice Address - Country:US
Practice Address - Phone:210-462-9400
Practice Address - Fax:210-462-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3845332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies