| NPI | 1992069942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUSA ALMIRA JAMOTILLO CEO 972-677-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000732) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-01-16 |