| NPI | 1942511084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MITCHELL RAY Owner/Manager 830-895-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000300) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2011-03-25 |