| NPI | 1942671094 |
|---|---|
| Former Legal Business Name | HOUSTON MONT CLAIRE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DELORES MCCREA Owner 314-583-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO LC1339704) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |