| NPI | 1104829175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA S VELA Vice Pres Administrata 956-584-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0070727) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 0070727) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0070727) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2012-02-08 |