| NPI | 1023325610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNA IKE UGOH Director 972-699-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 217057303) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TX 217057301) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 217057302) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2022-07-21 |