| NPI | 1750302329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN WELLS Owner Administrator 956-444-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0061347) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-10-22 |