| NPI | 1285234468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE R WAGNER CEO 281-787-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2022-09-20 |