| NPI | 1710298211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L ESTRELLA Owner 281-858-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-01-23 |