| NPI | 1053416933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA K LUTTRELL President / Owner 903-439-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 20865) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |