| NPI | 1114914314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GOMEZ VP, Medicare Enrollment 830-292-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2025-08-20 |