| NPI | 1053493510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA HERNANDEZ Office Manager 915-532-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0043159) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-08-30 |