| NPI | 1417957911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA GLORIA LUNA Vice President 956-664-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0065562) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0065562) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0065562) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-03-22 |