| NPI | 1396048674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HOLLIMON Practitioner In Charge 210-393-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 101348) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-06-21 |