| NPI | 1073150058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DAAR Owner 806-646-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |