| NPI | 1275788804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALANZA MARIE MOORE CEO/Owner 281-288-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |