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OH SUSANNAH LLC NPI 1518073048


NPI Information

NPI: 1518073048
Provider Name: OH SUSANNAH LLC

Doing Business As: DBA PHYSICIAN CHOICE; DBA PINK RIBBON MASTECTOMY SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
332 W SUNSET RD
SUITE 2-B
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 829-5440
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OH SUSANNAH LLC is a durable medical equipment medical supplies in San Antonio, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OH SUSANNAH LLC NPI is 1518073048. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Physician Choice; Dba Pink Ribbon Mastectomy Services.

The provider's business location address is:

332 W SUNSET RD
SUITE 2-B
SAN ANTONIO, TX
ZIP 78209-767
Phone: (210) 829-5440
Fax: (210) 828-3698

The provider's authorized official is Susan L. Moreland .
The authorized official title is Owner and has the following contact phone number (210) 829-5440.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11814717-01MEDICAIDTEXAS
25292450001MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE
31814717-02MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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