| NPI | 1396509253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TREVOR CHEATHEAM Owner 512-630-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |