| NPI | 1972658102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FERNANDEZ President 915-494-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0053948) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-10-13 |