| NPI | 1962639666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN PACHECO President 915-532-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 12542147) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |