| NPI | 1235210717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HAFFORD President 817-645-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-03-18 |