| NPI | 1538595707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITO J ALVARADO Administrator 956-750-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2020-07-14 |