| NPI | 1467410159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY HANNES Owner 956-630-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 00080282) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-03-25 |