| NPI | 1548844921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA MERAJ SIDDIQUI Owner 765-714-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |