| NPI | 1922580257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HOLBERT Secretary 210-460-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-07-28 |