| NPI | 1114925856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J'LYNN ADAMS Office Manager 325-677-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0036515) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0012861) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-04-20 |