| NPI | 1447060512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL SHAFIQ Authorized Official 512-750-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |