| NPI | 1891874640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENLYN DEROCHE OJONTA Owner 281-463-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-10-21 |