| NPI | 1174488514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUELITO TYSON CEO 432-224-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |