| NPI | 1427504810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT SCHWAM General Manager 915-585-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |