| NPI | 1245243872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENOBEBA N SAUCEDO Owner 210-277-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5670040001) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-12-19 |