| NPI | 1043729817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA TAFOYA Billing Manager 915-875-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |