| NPI | 1780902940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAMSON CARLISLE Director 281-250-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000219) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-07-07 |