| NPI | 1679111405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAYA CHRISTINE KILPACK Manager 832-290-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |