| NPI | 1861209777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GONZALES Business Owner 210-387-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |