| NPI | 1598161069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE SCHULZE Controller 210-596-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-01-09 |