| NPI | 1043830094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON REDLER Owner/Manager 682-444-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |