| NPI | 1073610077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE IKEMEFUNA Owner 214-352-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 11083939) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |