| NPI | 1366680811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY MENKE Billing Supervisor 512-251-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1198) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2010-05-25 |