| NPI | 1164415212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI-LYN SCOTT Owner 281-303-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0076708) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2011-10-24 |