| NPI | 1184122491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL STANLEY Director Of Surgical Operations 682-521-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2021-04-13 |