| NPI | 1962561134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GUADALUPE GALLEGOS President 956-722-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 171WV0202X Contractor, Vehicle Modifications | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-03-15 |