| NPI | 1457353476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FONGUM President 281-239-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2009-06-30 |