| NPI | 1790408581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDDARTHA VANDANAPU Owner 281-818-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-12-13 |