| NPI | 1831650647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELL MARIE LOCKWOOD Owner/ Operator 281-668-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-03-31 |