| NPI | 1003156035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL L MERCADO Owner 210-732-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 17101) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |