| NPI | 1063616449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PETER DESCHAMPS Owner 806-875-7078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000504) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2009-07-16 |