| NPI | 1013027689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M FAGAN Secetary 361-364-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1000672) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-06-12 |