| NPI | 1902058241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE MONROE Owner 281-300-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |