| NPI | 1245723113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KENYON Credentialing Manager 214-947-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-06-11 |