| NPI | 1518502426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE J DICKERSON CEO 832-221-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-08-05 |