| NPI | 1295790061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HERNANDEZ Operations Manager 979-968-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0031424) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2025-10-02 |