| NPI | 1073340279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS LORRAINE BROWN Manager 469-472-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-23 |