| NPI | 1205034709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST A GONZALES Owner 210-744-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 32016929591) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-09-28 |