| NPI | 1154290948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELWYN PEREIRA Autorized Official 979-551-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |