| NPI | 1376639161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE DANIEL TREVINO President 956-447-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5586480001) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-19 |