| NPI | 1114893633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR ALI SIDDIQUI Director 254-472-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |