| NPI | 1346963071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOPHER LUIS ESCALANTE Owner 210-541-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-06-20 |