| NPI | 1467076802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WOTTRICH Owner 512-694-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |