| NPI | 1619262912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDIA O VICTOR Executive Director 832-896-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0801396930) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |