| NPI | 1699846816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE MIRANDA Owner 512-442-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0092593) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-06-16 |