| NPI | 1275731606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRIS GONZALES Owner 505-254-9748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NM FA0037900) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |