| NPI | 1689548638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN ISHMAEL ROBERSTSON Owner 409-402-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |