| NPI | 1750516118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH PAUL COOKSEY President 409-896-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2010-10-08 |