| NPI | 1326044157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNA CAROL MAERTZ Partner 979-732-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0029598A) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX TX0009135) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |