| NPI | 1750578662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA G GARCIA Administrator 979-485-8252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0095669) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |