| NPI | 1194728337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY C. COLLINS Administrator 210-340-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 4487710001) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-02-27 |