| NPI | 1447646856 |
|---|---|
| Other Name | STATESERV MEDICAL OF AUSTIN |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROODE COO 877-633-7250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX TX32289) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-10-21 |