Provider Demographics
NPI:1760565766
Name:RN PLUS MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:RN PLUS MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SAN MIGUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-435-6200
Mailing Address - Street 1:PO BOX 830526
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78283-0526
Mailing Address - Country:US
Mailing Address - Phone:210-435-6200
Mailing Address - Fax:210-340-1119
Practice Address - Street 1:2424 BUENA VIS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3740
Practice Address - Country:US
Practice Address - Phone:210-435-6200
Practice Address - Fax:210-340-1119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RN PLUS MEDICAL SUPPLIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-23
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0070378332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147450401Medicaid
TX147449602Medicaid
TX531120OtherBCBS OF TEXAS
TX531120OtherBCBS OF TEXAS
TX147450401Medicaid