| NPI | 1578757753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LOLLIES COO 832-215-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0100859) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0100859) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0100859) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-01-04 |