| NPI | 1003900630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA K. TRAMMELL Owner 903-792-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0008225) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0040664) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AR MG00341) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |