| NPI | 1942347109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SUSTAITA Office Manager 956-585-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |