| NPI | 1871762195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN DANIEL QUINTEROS Owner 713-589-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 101666) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-06-11 |