NPI | 1629406756 |
---|---|
Entity Type | Organization |
Authorized Contact | CALLISTUS EZEAKOR Owner 713-518-9360 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000491) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |