| NPI | 1194567172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S. REEVES Director 214-865-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |