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DIANNE M. GREJTAK NPI 1891872719


NPI Information

NPI: 1891872719
Provider Name: DIANNE M. GREJTAK

Doing Business As: MEDICAL SPECIALTY SHOPPE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4944 RESEARCH DR
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 614-3360
Get Directions

DIANNE M. GREJTAK 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. DIANNE M. GREJTAK NPI is 1891872719. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Specialty Shoppe.

The provider's business location address is:

4944 RESEARCH DR
SAN ANTONIO, TX
ZIP 78240-006
Phone: (210) 614-3360
Fax: (210) 614-3362

The provider's authorized official is Dianne M. Grejtak .
The authorized official title is Owner and has the following contact phone number (210) 614-3360.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/29/2011.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies0065742TEXASNo
2332B00000XDurable Medical Equipment & Medical Supplies0065742TEXASYes

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
1190990121250OTHERTEXASHUMANA
2585599OTHERTEXASBCBS KS
3531788OTHERTEXASBCBS TX
40007451364OTHERTEXASAETNA TRS
5155364601MEDICAIDTEXAS
64037010OTHERTENNESSEEBCBS TN
7531788OTHERTEXASBCBS FEDERAL
8155364602MEDICAIDTEXAS
94634540001MEDICARE NSC

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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