| NPI | 1245237643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM TIDD Authorized Official 512-320-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-07-21 |