| NPI | 1013397306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL IFEANYI OGBOLU Director 214-342-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000575) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |