| NPI | 1174741300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS WALL President 214-325-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0040198) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-03-06 |