| NPI | 1619266392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LYNELL HODRICK Owner 281-850-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |