| NPI | 1245327980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M ANDREW Credentialing Specialist 512-901-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-11-15 |