| NPI | 1689953978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE GIBBS Owner 409-625-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TX R35279) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |