| NPI | 1659986578 |
|---|---|
| Doing Business As | WISE OWL MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CASEY SLAY HARRIS Owner 830-990-4775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-10-13 |