| NPI | 1134305519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LEE GORDON Ower/Administrator 254-421-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |