| NPI | 1639976939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANTH TANGUTUR Owner/Authorized Official 512-375-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |