| NPI | 1528452646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHOCKLEY Owner/CEO 512-326-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001512) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-09-10 |