| NPI | 1023217676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SAMANTHA LARA Owner 214-228-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2022-07-21 |