| NPI | 1104153469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA REYNA Owner 210-737-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0108615) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2012-06-28 |