| NPI | 1770766990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VAN VLIET Owner 281-242-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0858) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2015-07-29 |