NPI | 1659374270 |
---|---|
Entity Type | Organization |
Authorized Contact | LETA ROBERTS Owner 832-266-9962 |
Organization Subpart ? | |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0066672) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2008-06-15 |