| NPI | 1841644051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M O'GRADY Official Correspondent 512-436-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |