| NPI | 1104985654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T GREENE Owner 979-775-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5726 T G) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-01-21 |