NPI | 1033994900 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE WADLE COO 512-217-5198 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2023-08-29 |
Last Update Date | 2024-02-27 |