| NPI | 1649394255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE FLORES LOPEZ Owner 210-923-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0064164) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-04-04 |