| NPI | 1134286271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA L. MEDINA President 915-781-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 14550) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0052467) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 14550) | |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |