| NPI | 1871753327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ R ELIZARDE Administrator 956-440-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0104263) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |