| NPI | 1881913226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENERANDA HERRERA Member 956-802-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |