| NPI | 1790059681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L REYES Owner 956-800-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1000676) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |