| NPI | 1164730909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL ORTIZ Member Manager 972-677-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000479) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-11-05 |