| NPI | 1023639192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED B. JUNGINA VINCENT Owner 512-598-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-05-04 |