| NPI | 1871116079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MARC TUTTLE Administrator/Owner 956-322-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-07-29 |