| NPI | 1700453966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HERNANDEZ Administrator 956-310-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-03-30 |