| NPI | 1154394252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SANDOVAL Manager 806-379-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0035451) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 88 S 380) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0035451) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OK 88 S 380) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0035451) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-07-12 |