| NPI | 1124267331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS KYLE HODGKINS Owner/Administrator 832-859-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32038859727) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |