| NPI | 1366934093 |
|---|---|
| Other Name | SOUTHERN DME |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLA Manager 713-568-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1002145) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-09-24 |