| NPI | 1629384110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MAX GREEN Owner 210-626-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 32038633825) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |