| NPI | 1992792584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVANUS OKORO KANU Director Operations 281-208-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0063183) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0063183) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-09-26 |