Provider Demographics
NPI:1699915926
Name:US MEDICAL EQUIPMENT & SUPPLY WAREHOUSE
Entity type:Organization
Organization Name:US MEDICAL EQUIPMENT & SUPPLY WAREHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:SALAZAR
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-216-5191
Mailing Address - Street 1:5415 BANDERA RD
Mailing Address - Street 2:#504
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1982
Mailing Address - Country:US
Mailing Address - Phone:210-216-5191
Mailing Address - Fax:
Practice Address - Street 1:5415 BANDERA RD
Practice Address - Street 2:#504
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1982
Practice Address - Country:US
Practice Address - Phone:210-216-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies