| NPI | 1912073081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY COULTER Comptroller 915-544-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 0600000802) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-11-22 |