| NPI | 1013936988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHON LEIGHTON ANSLEY Owner/Partner 972-937-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0077830) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |