| NPI | 1104021484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SUE WILCHER President 903-348-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-12-06 |