| NPI | 1952585184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E MILLER Owner 575-257-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0059159) |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: TX 56124) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2009-04-09 |