| NPI | 1417110115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG MAE LEE President 281-332-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0102234) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |