| NPI | 1942089826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SMITH Owner 956-739-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |