| NPI | 1811578354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEBELLE ROSE ROQUE Partner 210-430-6327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |