| NPI | 1053014035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DEAN Billing 214-770-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-04-06 |