| NPI | 1003101163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE AGUIRRE Mso 512-408-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000505) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |