| NPI | 1245629625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYNN LORENE RUSH Co Owner 972-897-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001476) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |