| NPI | 1912994070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA GOMEZ VP, Medicare Enrollment 210-255-6503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2025-07-22 |