| NPI | 1366482689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HOWERTON Vice President 254-666-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 332BP3500X) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: TX 2541J00000X) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |