| NPI | 1942696430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA G SEANEZ Administrator 915-845-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-06-28 |