| NPI | 1174777403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MARK ESTRADA President 866-562-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0089307) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |