| NPI | 1255374815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK STRADTNER Owner 956-992-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |