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HCA Order Form |
Division | San Antonio Division | ||
Site/Hospital | Methodist Childrens Hospital | ||
Billing | Delivery | ||
Name | Abram.Bustamante@MHShealth.com | Name | Abram Bustamante |
George.Greene1@healthtrustpg.com | abram.bustamante@mhshealth.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 8109 Fredericksburg Rd |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | 2nd floor CAPE center |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | San Antonio |
State | TN | State | TX |
ZIP | 37203 | ZIP | 78229 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
S16402 | Brayden Pro Adult Body Skin Magnet | 4 | $15.76 |
Sub-Total | $15.76 |