Medical Specialty Shoppe
LBN: Dianne M. Grejtak
Medical Specialty Shoppe is an health care organization with primary practice located at 4944 Research Dr , San Antonio TX 78240-5006. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Dianne M. Grejtak can be contacted via phone (210) 614-3360, or through Grejtak, Dianne M. via phone (210) 614-3360.
Contact Information
Primary practice address
4944 Research Dr
San Antonio TX 78240-5006
Phone: (210) 614-3360
Fax: (210) 614-3362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0065742 | Texas |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 0065742 | Texas |
Profile Details
| NPI number | 1891872719 |
|---|---|
| LBN Legal business name | Dianne M. Grejtak |
| DBA Doing business as | Medical Specialty Shoppe |
| Authorized official | Grejtak, Dianne M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 29th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891872719 | NPPES |
| Texas | Other | 0007451364 | AETNA TRS |
| Texas | Other | 531788 | AETNA TRS |
| Texas | MEDICAID | 155364601 | AETNA TRS |
| Texas | Other | 531788 | AETNA TRS |
| Texas | Other | 190990121250 | AETNA TRS |
| Texas | MEDICAID | 155364602 | AETNA TRS |
| Texas | Other | 4037010 | AETNA TRS |
| Texas | Other | 585599 | AETNA TRS |
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