| NPI | 1376964882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONYA JOHNSON Manager 832-288-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2014-01-13 |