| NPI | 1063727154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY MBAKU Owner 214-682-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000413) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |