| NPI | 1215311543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN CARBONEL President 915-892-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-07-21 |