| NPI | 1174265433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEANN RIGGS CEO 903-532-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-10-26 |