| NPI | 1124199369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY BOCKOVER Manager 903-330-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-08-23 |