| NPI | 1003400722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ACEVEDO Owner 830-325-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2023-04-27 |