| NPI | 1457482226 |
|---|---|
| Other Name | MYTOIA MOSS |
| Entity Type | Organization |
| Authorized Contact | MYTOIA C MOSS Program Director 713-436-7498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 001007771) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |