| 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 |