| NPI | 1639243660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNY LUIS DE LEON Director 830-775-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0104715) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-06-19 |