| NPI | 1982649844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MICHELLE TELLISON Owner 713-771-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 006519196) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-03-21 |