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Boob Shop
Durable Medical Equipment & Medical Supplies in San Antonio, Texas
NPI 1225650666

Boob Shop is a Durable Medical Equipment & Medical Supplies based in San Antonio, TX. Boob Shop practices in San Antonio, TX. The NPI Number for Boob Shop is 1225650666 and holds a License No. (Texas).

The current practice location address for Boob Shop is 4900 Broadway St Ste 700, San Antonio, TX and can be reached out via phone at 757-706-5571.

Location: 4900 Broadway St Ste 700, San Antonio, TX, 78209-7401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225650666
Provider Name
Boob Shop
Credential
Provider Entity Type
Organization
Address
4900 Broadway St Ste 700, San Antonio, TX, 78209-7401
Phone Number
757-706-5571
Fax Number
Provider Enumeration Date
05/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32073080122 01 TX TEXAS TAXPAYER ID
institution
Provider Business Practice Location Address Details
Address
4900 Broadway St Ste 700
City
San Antonio
State
Texas
Zip
78209-5739
Phone Number
757-706-5571
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Broadway St Ste 700
City
San Antonio
State
Texas
Zip
78209-5739
Phone Number
757-706-5571
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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.
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