NPI | 1780301598 |
---|---|
Entity Type | Organization |
Authorized Contact | OWEN BERNARDO ELLINGTON President 713-304-4227 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-10-24 |
Last Update Date | 2022-10-24 |