| NPI | 1134300692 |
|---|---|
| Doing Business As | PRODUCTIVE LIFE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | NOEMI VILLARREAL Vice President 915-858-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0100872) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-10-02 |