| NPI | 1033309000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MFON OKON ENYONG Owner 832-595-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 14184) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-04-18 |