| NPI | 1518029123 |
|---|---|
| Doing Business As | DBA |
| Entity Type | Organization |
| Authorized Contact | BETTY JO SANDERS Administrator 832-868-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 332B00000X) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |