| NPI | 1790991529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LLACAR MIRANDA Manager 832-623-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |