| NPI | 1174568448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON STEEN Office Manager 972-417-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |