| NPI | 1235370040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOLLEY Owner 972-668-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX H4414) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |