| NPI | 1104811348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H. BOYCE Administrator 972-224-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0060754) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0060754) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: TX 0060754) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |