| NPI | 1275513327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM TIDD Authorized Official 512-320-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5373370001) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312483) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-06-11 |