| NPI | 1174562581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRUF ALI KHAN Director 817-239-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0059392) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2026-09-22 |