| NPI | 1619141215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA FREEMAN Owner 832-766-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 00208837) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |