| NPI | 1861506784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MARIE PRENOST PRATER Director/Owner 281-303-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |