| NPI | 1003073495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADE JAGUN Director Of Operations 817-494-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0103976) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2010-07-06 |