| NPI | 1659813913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOADANI BUSTAMANTE CEO 832-955-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001422) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |