| NPI | 1972341493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL RODRIGUEZ BLANCO Owner 214-242-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |