Provider Demographics
NPI:1023235272
Name:TRUMAC PRODUCTS DBA PARA DRIVING AIDS
Entity type:Organization
Organization Name:TRUMAC PRODUCTS DBA PARA DRIVING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-655-5438
Mailing Address - Street 1:10624 IH35 N
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6626
Mailing Address - Country:US
Mailing Address - Phone:210-655-5438
Mailing Address - Fax:210-655-5573
Practice Address - Street 1:10624 IH35 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6626
Practice Address - Country:US
Practice Address - Phone:210-655-5438
Practice Address - Fax:210-655-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001002077Medicaid
TX001002077Medicaid