| NPI | 1649486143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON F MANJARRIS Owner 361-241-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX F1772) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-07-08 |