| NPI | 1467783035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA ANTHONY FADIPE Owner 281-530-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000196) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |