| NPI | 1558531558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER G MOBLAD Owner 830-257-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2009-07-07 |