| NPI | 1528004421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLADE I ABIOYE Owner/Manager 281-759-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4313810001) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |