| NPI | 1235792169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LEMOINE MAXWELL Administrator 214-983-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-07-18 |