| NPI | 1093794273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBN FISH Owner 318-382-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 06-0113638) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2012-04-02 |