| NPI | 1124012836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFFIONG SUNDAY IMOH President 903-565-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0068078) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |