| NPI | 1336144922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS STANLEY WILLSON CEO 361-225-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0035275) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-03-30 |