| NPI | 1306100540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K MENENDEZ Member 817-703-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-12-10 |