| NPI | 1407810864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDOM UFOT Owner 512-251-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0060391) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |