| NPI | 1891872719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE M. GREJTAK Owner 210-614-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0065742) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0065742) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-08-29 |