| NPI | 1154571883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIOS MANTZOROS Physician 936-756-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1068) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2016-04-14 |