| NPI | 1093954539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SIDA Vice President 915-593-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |