| NPI | 1740313956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS IBIOK Office Manager 936-639-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 5724850001) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |