| NPI | 1659543338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TITA FOMBANG President 713-294-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0102067) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |