| NPI | 1740504323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN VALADEZ President 361-510-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32034159809) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-08-06 |