| NPI | 1790185098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR UBALDO President 281-693-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-07-31 |