| NPI | 1073666145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN ENYONG Administrator 281-565-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |