| NPI | 1407024649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR VILLANUEVA Owner 915-231-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-18 |