| NPI | 1700352150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KUPEC Managing Member 512-930-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |