| NPI | 1205841889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA STEWART Billing & Credentialing Manager 972-755-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0079633) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |