| NPI | 1063572527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER LEAL President 956-428-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0011926) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |