| NPI | 1679865638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN HERNANDEZ Owner 956-421-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-07-30 |