| NPI | 1194052258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDIA L VILLARREAL Member 956-318-0253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-12 |