| NPI | 1871694216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY R LILES Co Owner 832-445-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0071765) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-03-07 |