| NPI | 1679573828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE PENA Co Owner 956-440-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0078839) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |