| NPI | 1134763014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOGALE COULTER COO/CFO 915-544-7144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |