| NPI | 1902154008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARETT LANG WILLIAMSON President 979-541-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-10-21 |