| NPI | 1699770115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT EDWARD BRADSHAW President 512-454-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-06-01 |