| NPI | 1790493518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILSE BOY Managing Member 281-723-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-04-12 |