| NPI | 1043093784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTO ALONZO MARTINEZ Owner 956-744-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |