| NPI | 1184278079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON SMITH III Owner 940-378-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-10-19 |