| NPI | 1174805113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO ANTHONY CANTU Partner 956-739-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |