| NPI | 1487679254 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CATHERINE B HENSHAW Director 512-990-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0065104) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-10-03 |