| NPI | 1841219979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEWIS HICKS President 505-326-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |