| NPI | 1063575579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MAJERUS CEO 817-529-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0091986) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0091986) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 48298) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-11-16 |