| NPI | 1184058281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D CALISE Member 281-913-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |