| NPI | 1669581450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA DUTCHOVER Office Manager 210-377-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0043094) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |