| NPI | 1871815514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL WAYNE HENRY General Partner 832-769-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2013-07-22 |