| NPI | 1194231183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL VILLANUEVA CEO 915-564-0168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001493) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |