| NPI | 1174388805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN A NGAM AGBOR Administrator 469-340-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |