| NPI | 1861668535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MUKETE DIOH Owner/Administrator 713-278-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0099919) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: TX 0099919) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0099919) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: TX 0099919) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 0099919) | |
| 332S00000X Hearing Aid Equipment (Licence: TX 0099919) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 0099919) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-12-04 |