| NPI | 1053802264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STEPHEN KNUTZ Owner 817-937-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |