| NPI | 1558302414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMEH OKPON-JACK General Manager 281-980-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0068682) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-11-24 |