| NPI | 1881870608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA JOHNSON Credentialing Coordinator 713-840-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 800702863) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-08-11 |