| NPI | 1790361822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CATHERINE GONZALEZ Administrator 956-631-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2023-03-27 |