| NPI | 1003752270 |
|---|---|
| Other Name | WACO HILLCREST SOUTHWEST SPORTS DME |
| Entity Type | Organization |
| Authorized Contact | SHELLIE MACH CFO 254-202-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |