| NPI | 1235192204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAY EFFIONG Owner 512-453-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0066378) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-04-20 |