| NPI | 1699908327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SALDIVAR Owner 210-607-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32040106026) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |