NPI | 1194100800 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA CORREA CEO 210-614-3804 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0105777) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-07-23 |