Provider Demographics
NPI:1982359386
Name:DEPENDABLE MEDEX DME
Entity Type:Organization
Organization Name:DEPENDABLE MEDEX DME
Other - Org Name:DEPENDABLE MEDEX DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-455-0410
Mailing Address - Street 1:8034 CULEBRA RD STE 509
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1895
Mailing Address - Country:US
Mailing Address - Phone:210-281-8727
Mailing Address - Fax:
Practice Address - Street 1:8034 CULEBRA RD STE 509
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1895
Practice Address - Country:US
Practice Address - Phone:210-281-8727
Practice Address - Fax:888-320-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies