| NPI | 1356652275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE MARTINEZ Vice President 915-256-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 1000329) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 1000329) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |