| NPI | 1871978742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY SANDERS Manager 832-913-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001581) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |