| NPI | 1710414370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY FRANEK Business Manager 830-890-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-10-15 |