| NPI | 1992854962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVID FARNIE President 409-832-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0012940) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-25 |