| NPI | 1194726455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFAHA MATTHEW ASANGANSI Owner Operator 903-509-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 161161801) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-08-03 |