| NPI | 1760749899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE GOMEZ Owner 214-529-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 10872) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |