| NPI | 1275059933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HAYSLIP Billing Manager 817-510-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-01-28 |