| NPI | 1023119104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN COYLE Administrator 713-272-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0059512) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |