| NPI | 1235540451 |
|---|---|
| Doing Business As | PRUETT MEDICAL INC |
| Entity Type | Organization |
| Authorized Contact | KELLY NOVAN KUNKA President 254-772-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |