| NPI | 1104849561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD AMIN SIDDIG President 817-354-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0088518) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |