| NPI | 1881224764 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LESLY FICHTEL Office Manager 210-375-3399  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2020-01-20 | 
| Last Update Date | 2020-01-20 |