| NPI | 1245823459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JANE HORTON Owner 254-768-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2023-02-02 |