| NPI | 1902271935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FREDERICK Authorized Officer 512-485-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2025-07-11 |