| NPI | 1760435283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. LOGAN Owner 979-846-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0087789) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-12-18 |