| NPI | 1770651549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CAVAZOS Pharmacist 956-519-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 16700) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-02-19 |