| NPI | 1760109003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN BERNARDO ELLINGTON President 713-304-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |