| NPI | 1063661379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELDA M PEREZ Owner 956-585-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0105180) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |