| 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 |