| NPI | 1992097653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE ELLIOTT Owner 512-669-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |