PETTICOAT FAIR INC

NPI # 

Practice Address:

7739 Northcross Dr , Suite M

Austin, TX, 78757-1700

Practice Phone:

512-454-2900

Practice Fax:

512-454-3381

License Number:

17

License State:

TX

Taxonomy Grouping:

Suppliers

Taxonomy Classification:

Durable Medical Equipment & Medical Supplies

Taxonomy Code:

332B00000X