| NPI | 1265278790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUNG VAN HA Authorized Official 469-444-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |