| NPI | 1417978354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIACAUSLYN C DEBLAW Owner 713-674-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0089335) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |