| NPI | 1912097890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WYTHE FAIN President 713-799-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 000062) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |