| NPI | 1457380560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOBONG I EDWARD Director 281-403-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0062812) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |