| NPI | 1407804784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHEATHAM Owner 210-764-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0085654) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |