| NPI | 1164891925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWOLE O DAVIDS Owner 469-610-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 802292943) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-04-26 |