| NPI | 1093754012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN VANDERPOOL Owner 915-591-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0086372) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-26 |