| NPI | 1245291442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEWAYNE ANDRUS President 940-691-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0039904) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0039904) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2011-03-11 |