Med Mart

LBN: San Antonio Extended Medical Care, Inc.
Med Mart is an health care organization with primary practice located at 1080 Crown Ridge Blvd Ste 1 , Eagle Pass TX 78852-3496. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. San Antonio Extended Medical Care, Inc. can be contacted via phone (830) 757-4416, or through Barrera, Carlos via phone (210) 697-9933.

Contact Information

Primary practice address
1080 Crown Ridge Blvd Ste 1 Eagle Pass TX 78852-3496
Phone: (830) 757-4416
Fax: (830) 757-5550
Website:
Map and Directions
Authorized official contact:
Name: Barrera, Carlos
Phone: (210) 697-9933

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X Texas
Suppliers / Oxygen Equipment & Supplies 332BX2000X Texas

Profile Details

NPI number 1518907237
LBN Legal business name San Antonio Extended Medical Care, Inc.
DBA Doing business as Med Mart
Authorized official Barrera, Carlos
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 10th, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518907237 NPPES
Texas MEDICAID 173462601
Texas Other 1025668
Texas MEDICAID 173462602
Texas Other 532247

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