| NPI | 1073559456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ADIZA YUSUF Owner 281-499-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5726820002) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0067258) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-07-11 |