Organization · Type 2 NPI
Renata B Sturdivant
Oxygen Equipment & Supplies (DME) · San Antonio, TX
NPI number
1619274156
Active
Practice location
7503 Riverside Park Dr
San Antonio, TX 78249-4324
Mailing address
3516 W Mary Knoll Ct
Peoria, IL 61615-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | None listed |
Oxygen Equipment & Supplies (DME): Definition to come...
Another provider at this address
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About NPI 1619274156
Renata B Sturdivant's National Provider Identifier is 1619274156, issued on Feb 18, 2011. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 19, 2011.