| NPI | 1972658268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY A LUNA Office Manager 210-614-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0067810) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-09-17 |