| NPI | 1770117061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LEE MAYO Chief Financial Officer 512-988-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-08-19 |