| NPI | 1154379980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SONGER Owner 361-855-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0044164) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-05-13 |