| NPI | 1902088073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DALE GRAY Owner 210-593-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0055752) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-10-31 |