| NPI | 1942398011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GABRIEL BURCIAGA President 956-283-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0072321) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |