| NPI | 1114041761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE MEYERS TUCKER Owner 318-628-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-07-21 |