| NPI | 1730025164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVA RAMA PARASAD PILLA Manager 469-669-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |