| NPI | 1003011511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN SHEWEY Owner 580-242-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-11-04 |