| NPI | 1225861842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE REBECCA HARRIS Customer Experience Asst. Mgr 979-778-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |