| NPI | 1619991759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEY MONDAY IDIONG Sole Proprietor 713-785-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0086921) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |