NPI | 1326150566 |
---|---|
Entity Type | Organization |
Authorized Contact | ENRIQUE G AZUELA President 956-687-4469 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 332B00000X) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 332BP3500X) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |