| NPI | 1689995300 |
|---|---|
| Doing Business As | STATE WIDE DME |
| Entity Type | Organization |
| Authorized Contact | RAQUEL MARTINEZ Member 956-583-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |