| NPI | 1417183575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY MARTINEZ Owner 915-422-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 4137873) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2010-09-17 |