| NPI | 1073118246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HOLLIE Director Of Operations 936-293-8799 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-04-22 |