| NPI | 1689361594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN N REYES Owner 512-808-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |