| NPI | 1790599835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEHANE JACQUES AUGUSTIN Authorized Official 254-278-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |