NPI | 1669898300 |
---|---|
Doing Business As | ORIGINS ONE |
Entity Type | Organization |
Authorized Contact | JOE V HALL President 281-402-3540 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 100071) |
Additional Taxonomies | 183500000X Pharmacist |
302F00000X Exclusive Provider Organization | |
Enumeration Date | 2014-03-05 |
Last Update Date | 2014-03-05 |