| NPI | 1811705718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA FARIAS Practice Administrator 210-504-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |