| NPI | 1366526196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY D WEAVER President 505-883-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM PA0023887) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-08-29 |