| NPI | 1942308200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDERRAM VENKATA SATYAVADA Theripist/ Owner 432-683-1199 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0058466) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-06 |