| NPI | 1487061917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA CRUZ Administrator 512-814-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-09-04 |