| 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 |