| NPI | 1164668109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAETTE OKON Administrator 281-261-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |