| NPI | 1093222762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN BARRERA Chief Executive Officer 210-452-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1002066) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |