| NPI | 1962786178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J V HALL President 281-656-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 1000710) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000710) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1000710) | |
| 335G00000X Medical Foods Supplier (Licence: TX 1000710) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-04-23 |