| NPI | 1609045731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY THOMAS Member 713-728-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0095507) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-25 |