Provider Demographics
NPI:1083635668
Name:COST PLUS MEDICAL SUPPLY
Entity type:Organization
Organization Name:COST PLUS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-445-7211
Mailing Address - Street 1:3110 NOGALITOS
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2310
Mailing Address - Country:US
Mailing Address - Phone:210-324-6774
Mailing Address - Fax:
Practice Address - Street 1:3110 NOGALITOS
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2310
Practice Address - Country:US
Practice Address - Phone:210-324-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies