| NPI | 1306089842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M. VASQUEZ Owner 956-724-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000054) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2025-03-27 |