| NPI | 1306197785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ISABEL HERNANDEZ Billing And Insurance Specialist 915-838-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX J6014) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |