| NPI | 1366726697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARRERO President 915-543-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0086598) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0086598) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0086598) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2013-05-20 |