| NPI | 1912179318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOYLE PETERSON Owner/President 512-288-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |