| NPI | 1972139764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIE FESTER Practice Manager 979-776-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2023-03-21 |