| NPI | 1447647821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONDE KAYE WILTCHER Manager 281-395-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001463) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1001463) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-02-16 |