| NPI | 1689699563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A MATTINGLY President 512-554-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0091015) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-04-20 |