| NPI | 1073749024 |
|---|---|
| Doing Business As | HEALTHLINE |
| Entity Type | Organization |
| Authorized Contact | LARRY DEWAYNE ANDRUS CEO 940-691-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1000070) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 1000070) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1000070) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-09-20 |