| NPI | 1205382181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY JOE LONG Owner 580-326-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |