| NPI | 1295094423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHE NICOLE MILHAUSER Operations Manager 210-913-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001222) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2018-08-20 |