| NPI | 1487014015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY FERDINAND Manager 210-224-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |