| NPI | 1275923443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L WANNER President/Owner 936-639-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |