| NPI | 1801307228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH B MOEHLE General Manager 210-889-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |