| NPI | 1558539684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRIA MERRLEN WOOD Owner 713-271-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 102259) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-10-28 |