| NPI | 1063721801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA F ANDERSON Director 214-673-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 11172166) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |