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STATESERV MEDICAL OF SAN ANTONIO
NPI 1063809622
Durable Medical Equipment & Medical Supplies in San Antonio, TX

Active since April 22, 2015
4338 TEJASCO DRIVE, SAN ANTONIO, TX 78218(877) 633-7250 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2020, Oct 21, 2019 (2 updates tracked since 2019).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About STATESERV MEDICAL OF SAN ANTONIO

This page provides the complete NPI Profile along with additional information for Stateserv Medical Of San Antonio, a provider established in San Antonio, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1063809622 assigned on April 2015. The practitioner's primary taxonomy code is 332B00000X with license number TX32303 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Christopher Roode (Coo)

NPI
1063809622 Verify this NPI
Provider Name
STATESERV MEDICAL OF SAN ANTONIO
Entity Type
Organization
Location Address
4338 TEJASCO DRIVE SAN ANTONIO, TX 78218
Location Phone
(877) 633-7250
Mailing Address
1201 S. ALMA SCHOOL ROAD SUITE 4000 MESA, AZ 85210
Mailing Phone
(336) 227-8030
Mailing Fax
(336) 227-3288
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-22-2015
Last Update Date
10-07-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
TX32303
License State
TX
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER ROODE

Authorized Official Title
COO
Authorized Official Phone
(877) 633-7250

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Frequently Asked Questions

What is STATESERV MEDICAL OF SAN ANTONIO's NPI number?

The NPI number assigned to this healthcare provider is 1063809622, enumerated as an "organization" on April 22, 2015.

Where is the provider located?

The provider is located at 4338 TEJASCO DRIVE SAN ANTONIO, TX 78218 and the phone number is (877) 633-7250.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.