| NPI | 1871786129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ISIDRO BAUTISTA Owner 281-948-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |