| NPI | 1518477488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME J AREVALO Officer 956-686-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |