| NPI | 1902181969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON GREG WOLF General Partner 512-554-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: N/A) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |