| NPI | 1972822674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHAT VALDEZ President 512-784-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 801218214) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |