| NPI | 1508641077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J MIGUEZ LEYVA Director 214-982-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |