| NPI | 1285192005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANS TACHIE MENSON Director 832-633-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |