| NPI | 1952368292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB D. MOORE Administrator 979-732-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-06-13 |