| NPI | 1962769570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SULLIVAN President 281-991-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |