| NPI | 1255382024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA YVONNE ANCISO Administrator 956-630-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-05-16 |