| NPI | 1417144924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335G00000X Medical Foods Supplier |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 146N00000X Emergency Medical Technician, Basic (Licence: TX 153978) | |
| 172A00000X Driver | |
| 177F00000X Lodging | |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: TX 77263) | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 341600000X Ambulance (Licence: TX 800218) | |
| 3416S0300X Ambulance, Water Transport | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-09-21 |