| NPI | 1336551126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VASSAR President 210-731-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX G8179) |
| Additional Taxonomies | 208800000X Urology (Licence: TX G8179) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2019-09-24 |