| NPI | 1487156188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRICKEN President 936-582-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1002077) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |