| NPI | 1083759666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO SAMUELSON Chief Administrative Officer 972-488-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |