| NPI | 1902077076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA D. SALAS Owner 361-442-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0101990) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |