NPI | 1760479885 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA GOMEZ VP, Medicare Enrollment 830-292-1612 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2005-10-04 |
Last Update Date | 2025-08-20 |