| NPI | 1871853580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CASTILLEJA President 210-326-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |