| NPI | 1831158641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMIE L HENDRICKSON Account Manager 713-791-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-08-20 |