| NPI | 1518280296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE A DAVISON Administrator 832-623-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |