| NPI | 1003202201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CAMERON PADGETT Owner 505-716-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM pt2010-0068) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |