| NPI | 1518455005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEESE G. FORD President 281-738-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |