| NPI | 1083796742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEYM MICHAEL SMITH Vice President 940-898-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0072871) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-01-25 |