| NPI | 1033428107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LYNN WOOLAM Director 806-762-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000445) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2011-02-16 |