| NPI | 1730669201 |
|---|---|
| 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 | 2024-11-07 |