| NPI | 1548583180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY R SARABIA Manager 915-219-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |