| NPI | 1609989540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY COULTER Controller 915-544-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0031178) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-11-22 |