| NPI | 1073510970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON DAVIS Owner 817-573-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0052005) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |