| NPI | 1811754245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DILLARD Administator 956-321-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-16 |