| NPI | 1710467287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDFORD MATTHEW SCHOCKET Director 512-467-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-05-17 |