| NPI | 1750970299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MARQUEZ Manager 936-632-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |