| NPI | 1104758945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE CORTES CEO 432-315-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |