| NPI | 1144333089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HILLIARD Managing Member 580-355-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-11-20 |