| NPI | 1265889885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAMS Owner 979-695-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 15115) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |