| NPI | 1922167881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY R FLANAGAN Owner President 979-776-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |