| NPI | 1386839116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD FARIAS Manager 713-576-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX txdme) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |