| NPI | 1760791487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BETH POPP CEO/Owner 979-531-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 100439) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 1000439) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 100439) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-08-25 |