| NPI | 1447264874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM THOMAS GONZALEZ Owner/Manager/Reg. Resp. Therapist 575-644-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NM 02946075001) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-08-07 |