| NPI | 1578647301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY D WEAVER President 505-883-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM FA0007917) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |