| NPI | 1144556093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAEL HAUSBECK President 956-494-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2015-06-11 |