| NPI | 1780363093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETTE I DE LOS SANTOS Administrator 956-601-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |