| NPI | 1124592258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIR ALI Biling Manager 281-712-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |