| NPI | 1043482540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSON JON KRUGMAN Owner 512-633-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0103078) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |