| NPI | 1184403818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOE GENTRY Owner 903-203-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-12-05 |