| NPI | 1972362879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY TACKER Regulatory Specialist 713-297-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |