| NPI | 1235625641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM TIDD Authorized Official 512-320-5400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-06-11 |