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 |