Brackettville Home Medical Supply LLC
NPI #1528046836 in Brackettville, Texas
Provider Information
- NPI Number
- 1528046836
- Entity Type
- Organization
- Organization Name
- Brackettville Home Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 6, 2006
- Last Updated
- Aug 20, 2008
Practice Location
- Address
- 302 MILITARY DR
- City
- Brackettville
- State
- Texas
- ZIP Code
- 78832
- Phone
- (830) 563-2200
Authorized Official
- Name
- KENNETH EDWARD WIESE
- Title
- GENERAL MANAGER
- Phone
- (830) 775-4060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Durable Medical Equipment & Medical Supplies |
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