| NPI | 1225261787 |
|---|---|
| Doing Business As | CINCO RANCH MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CHARLES OBI Managing Owner 281-573-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000154) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1000154) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 1000154) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1000154) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2011-11-08 |