| NPI | 1144450818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH COOKSEY President 409-273-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2010-03-11 |