| NPI | 1518073048 |
|---|---|
| Doing Business As | DBA PHYSICIAN CHOICE; DBA PINK RIBBON MASTECTOMY SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUSAN L. MORELAND Owner 210-829-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-05-29 |