| NPI | 1568028827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES ST. LAURENT President/Owner 281-921-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |