| NPI | 1104087055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLISTUS C EDOZIE Owner 832-880-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0089210) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |