| NPI | 1457843666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DANIEL MAURICIO Manager 210-587-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |