| NPI | 1669611372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH LORANE KENNEDY Owner 713-440-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0104583) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0104583) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0104583) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |