NPI | 1609996453 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK RAVEL Owner 512-459-7603 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 332BC3200X) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2011-07-18 |