| NPI | 1841359650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLILIAN DE LEON Owner 956-584-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1297210001) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |