| NPI | 1851508402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH I MACLAYTON General Manager 979-532-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0081363) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0081363) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |