| NPI | 1639228711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRUZ MALDONADO President 405-702-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-02-29 |