| NPI | 1922313055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M METCALFE Director 915-538-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |