| NPI | 1194164889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE DOMINGUEZ Owner 806-789-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |