| NPI | 1659189298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANA MANDADI Managing Officer 361-345-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |