| NPI | 1427679158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FERNANDEZ Owner 956-399-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-06 |