| NPI | 1538828017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEANIKIA MONAH RODGERS Manager 979-574-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |