| NPI | 1942040357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J VILLARREAL Owner 346-313-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |