| NPI | 1174507339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON N MAJERUS President 817-529-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 004220) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0042220) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-12-02 |