| NPI | 1225243793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE KNOCKE General Manager 210-614-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0070190) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |