| NPI | 1083040901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOTHILDE GONZALEZ Manager 210-825-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001203) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2021-12-10 |