| NPI | 1790764413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA S PONICKI Billing Manager 915-351-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-08-22 |