| NPI | 1659821486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR GONZALEZ Owner 956-631-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX j6115) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX J6115) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-01-25 |