| NPI | 1922240027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL CUELLAR MARTINEZ Owner 361-881-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000228) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2014-12-16 |