| NPI | 1164831566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JUAREZ Managing Member 713-622-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 25163) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |