| NPI | 1679628366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI GOMEZ President 915-566-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0093978) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |