| NPI | 1104922301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLASS J WACKER Member, Manager 956-350-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 85) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |