| NPI | 1760220669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL SHAFIQ Authorized Official 512-379-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-08-19 |