| NPI | 1356862502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN WAGNER Owner/Manager 713-701-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |