NPI | 1104689850 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI WHITELEY Compliance Officer 817-704-3103 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |