| NPI | 1235214206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA DIANNE ARCENEAUX Store Manager 979-864-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0033286) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |