| NPI | 1205138856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG SOOK KANG Administrator 972-982-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000474) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-08-02 |