| NPI | 1023207008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP RAY SIMMONS CEO/Owner 903-223-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-09-08 |