| NPI | 1295134039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LOPEZ Authorized Official 432-279-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-09-17 |