| NPI | 1639357833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN EDWARD HOLT M.D. Vice President 210-490-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 179450001) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-01-07 |