| NPI | 1326432188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL ORTIZ Member Manager 972-677-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX Applied For) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |