| NPI | 1790415032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE GREEN Authorized Offical 281-407-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |