| NPI | 1013602135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN PATRICK AYRES Billing Manager 405-923-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-30 |