| NPI | 1770529679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ELLIS President 512-301-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0078297) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |