| NPI | 1053242032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN AFREEN FATIMA Owner 254-727-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |