| NPI | 1144704966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SKY BUCHANAN Account Manager 903-212-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |