| NPI | 1225655806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP B MINER President/Dds 210-341-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-09-08 |