| NPI | 1922746957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE PARADA Operations Manager 979-473-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |