| NPI | 1184163164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSHUA RUSH Mbr/Co Owner 832-745-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001871) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |