| NPI | 1265426373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE TRAWICK Secretary Tresurer 210-223-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 11) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2022-07-21 |