NPI | 1629667837 |
---|---|
Entity Type | Organization |
Authorized Contact | RICKY BRIAN TUBBS Owner 205-608-8199 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2021-01-12 |
Last Update Date | 2022-08-01 |