| NPI | 1487764916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STRATTON Owner 210-946-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-05-31 |