| NPI | 1073806634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS HAMMONDS Owner 512-339-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32042654767) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |