| NPI | 1396755062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO CARLOS DOMINGUEZ Owner 956-581-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000367) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0077673) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-07-17 |