| NPI | 1083801120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BROOKE WEBB Owner 405-820-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-03-22 |