| NPI | 1215104435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORNIECESHER JOHNSON Owner 832-206-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |