| NPI | 1710981428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COOKIE DYER Partner 361-855-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 017397301) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-07-21 |