| NPI | 1558651232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR REYES President 915-274-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1000434) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000434) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |