| NPI | 1104852748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEDRIC L COX Administrator 281-260-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-10-25 |