| NPI | 1790730018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SHANE BURKETT President 281-922-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0044264) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-02-24 |