| NPI | 1215387048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE ROSE Manager 817-875-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001756) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-10-19 |