| NPI | 1063415057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE CUENTAS Administrator 210-949-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101574) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 58074) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-02-22 |