| NPI | 1326647421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA E PRICE Owner 832-368-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |