| NPI | 1164723326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY GOMEZ Owner 956-271-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 6440770001) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2015-03-30 |