| NPI | 1639892037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE SIERRA CEO 281-419-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |