| NPI | 1134239502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GROVE Registered Agent 956-832-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-05-29 |