| NPI | 1174513295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL LEON DOUGLAS President 817-326-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0071214) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-12-02 |